Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Stanford Health Care

General Acute Care Hospital

Stanford, California

NPI: 1871543215

Risk Tier

Elevated

Total Paid

$264.8M

$264,820,794

Total Claims

3.9M

Beneficiaries

3.1M

Avg Cost/Claim

$67.25

Active billing period: 84 months (2018-01 to 2024-12)

Statistical Fraud Flags (1)

Rate Outlier

Billing above the 90th percentile across multiple procedure codes simultaneously.

Billing above the 90th percentile for 253 procedure codes: J9271 at 2.5× median, 78815 at 4.2× median.

Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.

Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024