Shield California Health Care Center INC
Durable Medical Equipment & Medical Supplies
Valencia, California
NPI: 1881708899
Risk Tier
Elevated
Total Paid
$522.6M
$522,623,914
Total Claims
10.3M
Beneficiaries
10.1M
Avg Cost/Claim
$50.55
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 57 procedure codes: A4351 at 2.0× median, A4385 at 2.5× median.
Advanced Detection Signals
Billing Velocity
5594.4 claims per working day — may exceed physically possible volume for a single provider.
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