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

Transition II

Case Manager/Care Coordinator

Burlington, Vermont

NPI: 1942638077

Risk Tier

Elevated

Total Paid

$17.3M

$17,299,725

Total Claims

60K

Beneficiaries

7K

Avg Cost/Claim

$286.94

Statistical Fraud Flags (1)

Consistent Billing

Monthly billing amounts show almost no natural variation (CV < 0.1).

Monthly billing coefficient of variation: 0.0804 (near-zero variation).

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