Integra Partners LLC
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 56 procedure codes: E0466 at 2.3× median, S5161 at 1.7× median.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Advanced Detection Signals
Additional statistical tests from advanced fraud detection methods
These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.
Risk Assessment
Bills $324.97 per claim for E1399 (Durable medical equipment, miscellaneous) — 3.1× the national median of $104.06.
Billing above the 90th percentile for 2 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Total Paid
$422.3M
$422,304,654
Total Claims
6.7M
Beneficiaries
5.7M
1.2 claims/patient
Avg Cost/Claim
$63
#150 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Integra Partners LLC is a Orthotic Fitter provider based in Troy, MI. From the 2018–2024 period, this provider received $422.3M in Medicaid payments across 6.7M claims.
Why This Matters
This provider received $422.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 52,788 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (L2275) accounts for 5% of total spending.
$20.9M
260K claims · 5.0%
$16.7M
547K claims
$30.59
$37.02
Disposable underpads, all sizes
$16.7M
547K claims · 4.0%
$15.1M
3K claims · 3.6%
$14.9M
175K claims
$85.13
$133.98
Foot insert, removable, longitudinal-metatarsal support, each
$14.9M
175K claims · 3.5%
$14.5M
20K claims
$733.19
$317.50
Home ventilator, any type, used with non-invasive interface
$14.5M
20K claims · 3.4%
$13.3M
244K claims
$54.73
$96.13
Adult-sized disposable incontinence product, brief/diaper, small
$13.3M
244K claims · 3.2%
$11.2M
42K claims
$266.70
$294.58
Breath test analyzer, FDA approved, disposable
$11.2M
42K claims · 2.6%
$10.7M
177K claims
$60.39
$61.03
Foot insert, removable, UCB-type, Berkeley shell, each
$10.7M
177K claims · 2.5%
$10.3M
116K claims · 2.4%
$10.3M
463K claims
$22.22
$42.03
Adult-sized disposable underpads/pads, large
$10.3M
463K claims · 2.4%
$9.5M
62K claims
$153.72
$131.70
Breast pump, electric, any type
$9.5M
62K claims · 2.3%
$9.1M
121K claims
$75.72
$108.31
Adult-sized disposable incontinence product, brief/diaper, medium
$9.1M
121K claims · 2.2%
$8.5M
207K claims
$41.03
$84.50
Adult-sized disposable incontinence product, brief/diaper, above XL
$8.5M
207K claims · 2.0%
$8.3M
38K claims
$216.86
$205.41
Foot insert, removable, molded to patient model
$8.3M
38K claims · 2.0%
$8.2M
25K claims
$324.97
$104.06
Durable medical equipment, miscellaneous
$8.2M
25K claims · 1.9%
$8.1M
10K claims
$844.00
$583.21
Home ventilator, any type, used with invasive interface
$8.1M
10K claims · 1.9%
$7.6M
117K claims · 1.8%
$6.9M
11K claims
$625.26
$465.86
Enteral formula, semisolid, 100 calories = 1 unit
$6.9M
11K claims · 1.6%
$6.7M
29K claims · 1.6%
$6.6M
24K claims
$271.46
$321.50
High-frequency chest wall oscillation air-pulse generator system
$6.6M
24K claims · 1.6%
$6.4M
93K claims
$68.15
$45.11
Oxygen concentrator, single delivery port
$6.4M
93K claims · 1.5%
$6.3M
14K claims
$452.95
$407.76
Breath alcohol test, per administration
$6.3M
14K claims · 1.5%
$5.5M
36K claims
$154.11
$177.75
Pediatric-sized disposable incontinence product, above XL
$5.5M
36K claims · 1.3%
$5.3M
76K claims · 1.3%
$4.7M
200K claims · 1.1%
$4.6M
120K claims
$38.66
$35.30
Continuous positive airway pressure (CPAP) device
$4.6M
120K claims · 1.1%
$4.5M
9K claims · 1.1%
$4.3M
12K claims · 1.0%
Emergency response system, per month
$4.0M
79K claims · 1.0%
$4.0M
33K claims
$121.59
$127.94
Foot insert, removable, longitudinal arch support, each
$4.0M
33K claims · 0.9%
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