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

Not Found

Unknown

Unknown, Unknown

NPI: A981940000

Risk Tier

High

Total Paid

$55.9M

$55,871,442

Total Claims

1.0M

Beneficiaries

20K

Avg Cost/Claim

$55.50

Statistical Fraud Flags (2)

Billing Swing

Experienced over 200% change in year-over-year billing with >$1M absolute change.

Billing changed from $1.7M (2018) to $54.1M (2019) — a 2994% swing with $52.4M absolute change.

Explosive Growth

Billing increased over 500% year-over-year — far beyond normal growth patterns.

Billing grew 2994% from 2018 to 2019.

Advanced Detection Signals

Billing Velocity

3520.2 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