[{"npi": "1417262056", "name": "Public Partnerships LLC", "specialty": "Supports Brokerage", "city": "Latham", "state": "NY", "totalPaid": 7177816544.46, "totalClaims": 89773441, "totalBenes": 5596134, "procCount": 25, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1699703827", "name": "Los Angeles County Department of Mental Health", "specialty": "Clinic/Center, Mental Health (Including Community Mental Health Center)", "city": "Los Angeles", "state": "CA", "totalPaid": 6778483867.35, "totalClaims": 30870976, "totalBenes": 10549232, "procCount": 117, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1376609297", "name": "Tempus Unlimited, Inc.", "specialty": "Voluntary or Charitable", "city": "Stoughton", "state": "MA", "totalPaid": 5571605313.0, "totalClaims": 63523750, "totalBenes": 3345513, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1699725143", "name": "Modivcare Solutions, LLC", "specialty": "Transportation Broker", "city": "Denver", "state": "CO", "totalPaid": 3093063112.9, "totalClaims": 107716418, "totalBenes": 16440856, "procCount": 44, "flags": [], "flagCount": 0}, {"npi": "1922467554", "name": "Freedom Care LLC", "specialty": "Home Health", "city": "New Hyde Park", "state": "NY", "totalPaid": 3025874966.69, "totalClaims": 21977069, "totalBenes": 1186413, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1710176151", "name": "Guardiantrac. LLC", "specialty": "Community/Behavioral Health", "city": "Sturgis", "state": "MI", "totalPaid": 2683634591.67, "totalClaims": 35557539, "totalBenes": 2441087, "procCount": 68, "flags": ["outlier_spending|beneficiary_stuffing"], "flagCount": 1}, {"npi": "1629436241", "name": "Department of Intellectual and Developmental Disabilities, State of Tn", "specialty": "Public Health or Welfare", "city": "Nashville", "state": "TN", "totalPaid": 2596064454.98, "totalClaims": 16349155, "totalBenes": 1174610, "procCount": 72, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1982757688", "name": "Alabama Department of Mental Health and Mental Retardation", "specialty": "Community/Behavioral Health", "city": "Montgomery", "state": "AL", "totalPaid": 2254946211.7, "totalClaims": 1950098, "totalBenes": 594985, "procCount": 21, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1538649983", "name": "Consumer Direct Care Network Virginia", "specialty": "Home Health", "city": "Missoula", "state": "MT", "totalPaid": 2105798329.42, "totalClaims": 22162533, "totalBenes": 1069174, "procCount": 5, "flags": ["outlier_spending|spending_spike", "explosive_growth"], "flagCount": 2}, {"npi": "1528263910", "name": "County of Santa Clara", "specialty": "Community/Behavioral Health", "city": "San Jose", "state": "CA", "totalPaid": 1728502977.19, "totalClaims": 4656205, "totalBenes": 1617142, "procCount": 59, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1962650622", "name": "American Business Institute Corp", "specialty": "Home Health", "city": "Flushing", "state": "NY", "totalPaid": 1682424022.37, "totalClaims": 11238391, "totalBenes": 463218, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1720151046", "name": "Premier Home Health Care Services INC", "specialty": "Home Health", "city": "New York", "state": "NY", "totalPaid": 1476339972.58, "totalClaims": 7928022, "totalBenes": 357665, "procCount": 11, "flags": [], "flagCount": 0}, {"npi": "1356709976", "name": "Department of Intellectual and Developmental Disabilities, State of Tn", "specialty": "Public Health or Welfare", "city": "Nashville", "state": "TN", "totalPaid": 1452536495.04, "totalClaims": 5287026, "totalBenes": 389567, "procCount": 53, "flags": ["billing_consistency", "outlier_spending|unusual_cost_per_claim"], "flagCount": 2}, {"npi": "1396051694", "name": "Assistcarehome Healthcare Services", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 1442353043.54, "totalClaims": 9386423, "totalBenes": 461789, "procCount": 17, "flags": [], "flagCount": 0}, {"npi": "1538144910", "name": "Laboratory Corporation of America Holdings", "specialty": "Clinical Medical Laboratory", "city": "Burlington", "state": "NC", "totalPaid": 1436181704.91, "totalClaims": 103910314, "totalBenes": 92077561, "procCount": 747, "flags": [], "flagCount": 0}, {"npi": "1447261540", "name": "County of Riverside", "specialty": "Community/Behavioral Health", "city": "Riverside", "state": "CA", "totalPaid": 1398902370.04, "totalClaims": 8714521, "totalBenes": 2328336, "procCount": 82, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1750504064", "name": "Department of Developmental Services", "specialty": "Case Management", "city": "Southbridge", "state": "MA", "totalPaid": 1349935087.72, "totalClaims": 1662383, "totalBenes": 224187, "procCount": 16, "flags": ["outlier_spending|unusual_cost_per_claim|beneficiary_stuffing"], "flagCount": 1}, {"npi": "1417099789", "name": "City & County of San Francisco", "specialty": "Community/Behavioral Health", "city": "San Francisco", "state": "CA", "totalPaid": 1344222550.12, "totalClaims": 6184815, "totalBenes": 1302440, "procCount": 61, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1073055208", "name": "Compass Health Inc.", "specialty": "Community/Behavioral Health", "city": "Clinton", "state": "MO", "totalPaid": 1281885231.52, "totalClaims": 10541518, "totalBenes": 3026410, "procCount": 39, "flags": [], "flagCount": 0}, {"npi": "1376554592", "name": "City of Chicago", "specialty": "Ambulance", "city": "Chicago", "state": "IL", "totalPaid": 1225040114.19, "totalClaims": 1593649, "totalBenes": 1193380, "procCount": 5, "flags": ["outlier_spending|unusual_cost_per_claim", "explosive_growth"], "flagCount": 2}, {"npi": "1518096411", "name": "Commonwealth of Massachusets", "specialty": "Case Management", "city": "Beverly", "state": "MA", "totalPaid": 1143418621.17, "totalClaims": 1557105, "totalBenes": 197206, "procCount": 13, "flags": ["outlier_spending|unusual_cost_per_claim|beneficiary_stuffing"], "flagCount": 1}, {"npi": "1700090834", "name": "Los Angeles County Department of Public Health", "specialty": "Public Health or Welfare", "city": "Alhambra", "state": "CA", "totalPaid": 1125938944.49, "totalClaims": 14999665, "totalBenes": 1524414, "procCount": 37, "flags": ["outlier_spending|spending_spike"], "flagCount": 1}, {"npi": "1780816991", "name": "Nae Edison LLC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 1107509967.21, "totalClaims": 6915432, "totalBenes": 328024, "procCount": 10, "flags": [], "flagCount": 0}, {"npi": "1275657553", "name": "Heart to Heart Home Care Inc.", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 1101806880.0, "totalClaims": 7622845, "totalBenes": 377858, "procCount": 9, "flags": [], "flagCount": 0}, {"npi": "1134250475", "name": "Commonwealth of Mass-dds", "specialty": "Case Management", "city": "Hyde Park", "state": "MA", "totalPaid": 1097550708.19, "totalClaims": 1432892, "totalBenes": 259050, "procCount": 10, "flags": ["outlier_spending|unusual_cost_per_claim|beneficiary_stuffing"], "flagCount": 1}, {"npi": "1376097303", "name": "Marks Homecare Agency INC", "specialty": "In Home Supportive Care", "city": "Corona", "state": "NY", "totalPaid": 1081483692.76, "totalClaims": 6692707, "totalBenes": 304210, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1578778726", "name": "Yale New Haven Hospital", "specialty": "General Acute Care Hospital", "city": "New Haven", "state": "CT", "totalPaid": 1080566062.71, "totalClaims": 23557851, "totalBenes": 17395896, "procCount": 1431, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1083783013", "name": "New Partners INC", "specialty": "Home Health", "city": "New York", "state": "NY", "totalPaid": 1077342251.7, "totalClaims": 5875713, "totalBenes": 264344, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1326168840", "name": "Department of Health and Senior Services", "specialty": "Specialist", "city": "Trenton", "state": "NJ", "totalPaid": 1073667311.34, "totalClaims": 3312341, "totalBenes": 621736, "procCount": 3, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1659402303", "name": "Alameda County Behavioral Health Care", "specialty": "Community/Behavioral Health", "city": "Oakland", "state": "CA", "totalPaid": 1068150354.86, "totalClaims": 6138417, "totalBenes": 1263528, "procCount": 65, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1184703415", "name": "Concepts of Independence Inc.", "specialty": "Home Health", "city": "New York", "state": "NY", "totalPaid": 1061917965.84, "totalClaims": 5015054, "totalBenes": 227919, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1720145378", "name": "Acumen Fiscal Agent LLC", "specialty": "Community/Behavioral Health", "city": "Mesa", "state": "AZ", "totalPaid": 1061171577.13, "totalClaims": 10544174, "totalBenes": 655257, "procCount": 47, "flags": [], "flagCount": 0}, {"npi": "1194934471", "name": "County of San Bernardino", "specialty": "Clinic/Center  Rehabilitation  Substance Use Disorder", "city": "San Bernardino", "state": "CA", "totalPaid": 1053552904.84, "totalClaims": 6532613, "totalBenes": 1679994, "procCount": 58, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1396049987", "name": "Community Assistance Resources & Extended Services INC", "specialty": "Case Management", "city": "New York", "state": "NY", "totalPaid": 1042893317.11, "totalClaims": 2757160, "totalBenes": 240183, "procCount": 17, "flags": ["explosive_growth", "outlier_spending|unusual_cost_per_claim|beneficiary_stuffing"], "flagCount": 2}, {"npi": "1518098359", "name": "Stavros Center for Independent Living Inc.", "specialty": "Case Management", "city": "Amherst", "state": "MA", "totalPaid": 1037216238.4, "totalClaims": 11206578, "totalBenes": 427194, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1518049485", "name": "Health Acquisition Corp.", "specialty": "Home Health", "city": "Forest Hills", "state": "NY", "totalPaid": 1025590031.98, "totalClaims": 5716218, "totalBenes": 292702, "procCount": 9, "flags": [], "flagCount": 0}, {"npi": "1932341898", "name": "Mains'l Florida, Inc.", "specialty": "Home Health", "city": "Brooklyn Park", "state": "MN", "totalPaid": 996801121.54, "totalClaims": 306131, "totalBenes": 283973, "procCount": 2, "flags": ["outlier_spending|unusual_cost_per_claim|spending_spike", "procedure_concentration"], "flagCount": 2}, {"npi": "1952476988", "name": "Montefiore Medical Center", "specialty": "General Acute Care Hospital", "city": "Bronx", "state": "NY", "totalPaid": 961141901.37, "totalClaims": 17112336, "totalBenes": 14680462, "procCount": 1445, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1457410904", "name": "Caring Professionals INC", "specialty": "Home Health", "city": "Forest Hills", "state": "NY", "totalPaid": 953479646.08, "totalClaims": 5589304, "totalBenes": 252276, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1093834020", "name": "Purfoods LLC", "specialty": "Home Delivered Meals", "city": "Ankeny", "state": "IA", "totalPaid": 910633453.06, "totalClaims": 51017667, "totalBenes": 4556652, "procCount": 17, "flags": [], "flagCount": 0}, {"npi": "1043386659", "name": "County of Sacramento", "specialty": "Clinic/Center  Adult Mental Health", "city": "Sacramento", "state": "CA", "totalPaid": 903144307.96, "totalClaims": 4320082, "totalBenes": 1851576, "procCount": 56, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1134260078", "name": "Medical Transportation Management Inc.", "specialty": "Transportation Broker", "city": "Lake St Louis", "state": "MO", "totalPaid": 894406192.52, "totalClaims": 34388480, "totalBenes": 5029593, "procCount": 21, "flags": ["outlier_spending|beneficiary_stuffing"], "flagCount": 1}, {"npi": "1124304621", "name": "Public Partnerships-colorado Inc.", "specialty": "Supports Brokerage", "city": "Boston", "state": "MA", "totalPaid": 887501813.41, "totalClaims": 5599208, "totalBenes": 465275, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1245354000", "name": "Commonwealth of Massachusetts-dds", "specialty": "Case Management", "city": "Hyannis", "state": "MA", "totalPaid": 881889979.78, "totalClaims": 781227, "totalBenes": 138263, "procCount": 15, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1871821710", "name": "Platinum Home Health Care Inc.", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 865877079.43, "totalClaims": 4759464, "totalBenes": 241832, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1679525919", "name": "The Cleveland Clinic Foundation", "specialty": "General Acute Care Hospital", "city": "Cleveland", "state": "OH", "totalPaid": 863549395.76, "totalClaims": 16016267, "totalBenes": 12948304, "procCount": 1579, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1053321869", "name": "Girling Health Care Inc.", "specialty": "Home Health", "city": "Austin", "state": "TX", "totalPaid": 858202022.04, "totalClaims": 14797415, "totalBenes": 773734, "procCount": 8, "flags": [], "flagCount": 0}, {"npi": "1033571658", "name": "C and T Homecare Services LLC", "specialty": "In Home Supportive Care", "city": "Great Neck", "state": "NY", "totalPaid": 848211431.1, "totalClaims": 5704959, "totalBenes": 251721, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1801060363", "name": "Home Family Care INC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 842517560.21, "totalClaims": 5447800, "totalBenes": 250306, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1730438706", "name": "Human Care LLC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 840475278.04, "totalClaims": 4928110, "totalBenes": 227232, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1104963347", "name": "County of Orange", "specialty": "Clinic/Center  Mental Health (Including Community Mental Health Center)", "city": "Santa Ana", "state": "CA", "totalPaid": 806659263.46, "totalClaims": 4933775, "totalBenes": 1554907, "procCount": 75, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1124494059", "name": "Tennessee Department of Children's Services", "specialty": "Public Health or Welfare", "city": "Nashville", "state": "TN", "totalPaid": 780976224.27, "totalClaims": 910831, "totalBenes": 877965, "procCount": 1, "flags": ["outlier_spending|spending_spike", "explosive_growth", "procedure_concentration"], "flagCount": 3}, {"npi": "1134152986", "name": "Nationwide Children's Hospital", "specialty": "General Acute Care Hospital", "city": "Columbus", "state": "OH", "totalPaid": 777537649.43, "totalClaims": 11019261, "totalBenes": 8541239, "procCount": 913, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1770022691", "name": "A & J Staffing INC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 775248390.58, "totalClaims": 5661079, "totalBenes": 264684, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1346218294", "name": "Boston Medical Center Corporation", "specialty": "General Acute Care Hospital", "city": "Boston", "state": "MA", "totalPaid": 768481072.41, "totalClaims": 14457145, "totalBenes": 12530368, "procCount": 1247, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1457562811", "name": "S & a Unified Home Care Inc.", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 767950561.97, "totalClaims": 4839538, "totalBenes": 202920, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1184166027", "name": "Burrell Inc.", "specialty": "Community/Behavioral Health", "city": "Springfield", "state": "MO", "totalPaid": 759749435.75, "totalClaims": 6527516, "totalBenes": 1945626, "procCount": 44, "flags": [], "flagCount": 0}, {"npi": "1528338282", "name": "All American Homecare Agency Inc.", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 759480229.5, "totalClaims": 4827072, "totalBenes": 231057, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1447393319", "name": "Special Touch Home Care Services Inc.", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 745668883.76, "totalClaims": 4169477, "totalBenes": 194048, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1528315397", "name": "Five Star Home Health Care Agency", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 740001913.97, "totalClaims": 4689038, "totalBenes": 196653, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1821275801", "name": "The Royal Care INC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 737824812.56, "totalClaims": 4166637, "totalBenes": 192845, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1992920417", "name": "Northeast Arc Inc.", "specialty": "Community/Behavioral Health", "city": "Danvers", "state": "MA", "totalPaid": 733082656.72, "totalClaims": 9313474, "totalBenes": 550183, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1770538001", "name": "County of Fresno", "specialty": "Clinic/Center  Mental Health (Including Community Mental Health Center)", "city": "Fresno", "state": "CA", "totalPaid": 728111212.47, "totalClaims": 3034929, "totalBenes": 1491247, "procCount": 52, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1457601965", "name": "Call the Car", "specialty": "Non-emergency Medical Transport (VAN)", "city": "Pasadena", "state": "CA", "totalPaid": 723937836.8, "totalClaims": 26606071, "totalBenes": 3358464, "procCount": 18, "flags": ["outlier_spending|unusual_cost_per_claim|spending_spike"], "flagCount": 1}, {"npi": "1063497451", "name": "Laboratory Corporation of America Holdings", "specialty": "Clinical Medical Laboratory", "city": "Raritan", "state": "NJ", "totalPaid": 717466640.82, "totalClaims": 109455732, "totalBenes": 101685925, "procCount": 712, "flags": [], "flagCount": 0}, {"npi": "1518911338", "name": "University of Kentucky", "specialty": "General Acute Care Hospital", "city": "Lexington", "state": "KY", "totalPaid": 716407787.9, "totalClaims": 8817197, "totalBenes": 6877120, "procCount": 1220, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1063812105", "name": "Abi Fi Corp", "specialty": "Home Health", "city": "Flushing", "state": "NY", "totalPaid": 714231712.54, "totalClaims": 5318854, "totalBenes": 239911, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1407897309", "name": "Hennepin Healthcare System INC", "specialty": "General Acute Care Hospital", "city": "Minneapolis", "state": "MN", "totalPaid": 708859553.08, "totalClaims": 9991272, "totalBenes": 7363021, "procCount": 813, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1104253558", "name": "Care Finders Total Care LLC", "specialty": "Home Health", "city": "Hackensack", "state": "NJ", "totalPaid": 708682479.28, "totalClaims": 8270331, "totalBenes": 402703, "procCount": 14, "flags": [], "flagCount": 0}, {"npi": "1952346876", "name": "Aoc TX LLC", "specialty": "Home Health", "city": "Sherman", "state": "TX", "totalPaid": 708513856.49, "totalClaims": 1626136, "totalBenes": 116046, "procCount": 18, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1932106010", "name": "Personal Touch Home Care of New York INC", "specialty": "Home Health", "city": "Long Island City", "state": "NY", "totalPaid": 703738514.8, "totalClaims": 3291802, "totalBenes": 146324, "procCount": 9, "flags": [], "flagCount": 0}, {"npi": "1730244294", "name": "Bestcare INC", "specialty": "Home Health", "city": "Levittown", "state": "NY", "totalPaid": 696610298.1, "totalClaims": 3803723, "totalBenes": 166215, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1649363342", "name": "Americare Inc.", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 686260064.07, "totalClaims": 3665321, "totalBenes": 177738, "procCount": 10, "flags": [], "flagCount": 0}, {"npi": "1265926687", "name": "Friends and Family Home Care Services", "specialty": "In Home Supportive Care", "city": "New York", "state": "NY", "totalPaid": 680727558.69, "totalClaims": 4947130, "totalBenes": 259302, "procCount": 8, "flags": [], "flagCount": 0}, {"npi": "1366479099", "name": "Unilab Corporation", "specialty": "Clinical Medical Laboratory", "city": "West Hills", "state": "CA", "totalPaid": 668499553.82, "totalClaims": 111637602, "totalBenes": 108161020, "procCount": 708, "flags": [], "flagCount": 0}, {"npi": "1194165985", "name": "Community Health Aide Services Inc.", "specialty": "Home Health", "city": "Monsey", "state": "NY", "totalPaid": 667442680.69, "totalClaims": 3944870, "totalBenes": 211489, "procCount": 11, "flags": [], "flagCount": 0}, {"npi": "1437175734", "name": "Virginia Commonwealth University Health System Authority", "specialty": "General Acute Care Hospital", "city": "Richmond", "state": "VA", "totalPaid": 658485314.25, "totalClaims": 8471931, "totalBenes": 6291446, "procCount": 1217, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1730491945", "name": "City Medical of Upper East Side PLLC", "specialty": "Clinic/Center  Urgent Care", "city": "New York", "state": "NY", "totalPaid": 643184712.3, "totalClaims": 7838014, "totalBenes": 7277905, "procCount": 162, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1225255375", "name": "County of San Diego", "specialty": "Public Health or Welfare", "city": "San Diego", "state": "CA", "totalPaid": 642451488.14, "totalClaims": 5455305, "totalBenes": 1082521, "procCount": 72, "flags": [], "flagCount": 0}, {"npi": "1558672279", "name": "Natera Inc.", "specialty": "Clinical Medical Laboratory", "city": "San Carlos", "state": "CA", "totalPaid": 641511859.92, "totalClaims": 7257656, "totalBenes": 6431366, "procCount": 61, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1932145778", "name": "Quest Diagnostics Incorporated", "specialty": "Clinical Medical Laboratory", "city": "Clifton", "state": "NJ", "totalPaid": 637741416.64, "totalClaims": 57184397, "totalBenes": 54552026, "procCount": 684, "flags": [], "flagCount": 0}, {"npi": "1447488721", "name": "Bnv Home Care Agency Inc.", "specialty": "Home Health", "city": "Rego Park", "state": "NY", "totalPaid": 636580818.96, "totalClaims": 3446648, "totalBenes": 140006, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1326111337", "name": "Alabama Department of Senior Services", "specialty": "Home Health", "city": "Montgomery", "state": "AL", "totalPaid": 631608444.85, "totalClaims": 10763744, "totalBenes": 1874333, "procCount": 15, "flags": [], "flagCount": 0}, {"npi": "1801027404", "name": "Consumer Directed Services in Texas Inc.", "specialty": "Supports Brokerage", "city": "San Antonio", "state": "TX", "totalPaid": 624768225.25, "totalClaims": 3406847, "totalBenes": 599363, "procCount": 36, "flags": [], "flagCount": 0}, {"npi": "1134277494", "name": "Bioreference Health LLC", "specialty": "Clinical Medical Laboratory", "city": "Elmwood Park", "state": "NJ", "totalPaid": 620067105.66, "totalClaims": 60790152, "totalBenes": 58982116, "procCount": 626, "flags": [], "flagCount": 0}, {"npi": "1932184322", "name": "Laboratory Corporation of America Holdings", "specialty": "Clinical Medical Laboratory", "city": "Dublin", "state": "OH", "totalPaid": 617017961.77, "totalClaims": 53462000, "totalBenes": 47979402, "procCount": 566, "flags": [], "flagCount": 0}, {"npi": "1306875695", "name": "Youth Villages Inc.", "specialty": "Community/Behavioral Health", "city": "Bartlett", "state": "TN", "totalPaid": 615308759.58, "totalClaims": 790946, "totalBenes": 215938, "procCount": 30, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1518259035", "name": "Astra Home Care", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 609810517.82, "totalClaims": 3502099, "totalBenes": 189602, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1932721834", "name": "Arion Care Solutions LLC", "specialty": "In Home Supportive Care", "city": "Chandler", "state": "AZ", "totalPaid": 606657803.13, "totalClaims": 5766334, "totalBenes": 393994, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1861520272", "name": "Access2care LLC", "specialty": "Transportation Broker", "city": "Lake St Louis", "state": "MO", "totalPaid": 600905872.13, "totalClaims": 17581374, "totalBenes": 2368223, "procCount": 20, "flags": [], "flagCount": 0}, {"npi": "1245414721", "name": "Caregiver Homes of Massachusetts INC", "specialty": "Case Management", "city": "Auburn", "state": "MA", "totalPaid": 598860245.02, "totalClaims": 7464255, "totalBenes": 267791, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1508199258", "name": "County of Ventura", "specialty": "Community/Behavioral Health", "city": "Oxnard", "state": "CA", "totalPaid": 598198692.3, "totalClaims": 3115644, "totalBenes": 1088047, "procCount": 58, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1053641498", "name": "Centria Healthcare LLC", "specialty": "Home Health", "city": "Farmington Hills", "state": "MI", "totalPaid": 590623456.31, "totalClaims": 2755271, "totalBenes": 357738, "procCount": 34, "flags": [], "flagCount": 0}, {"npi": "1003953803", "name": "Home Health Care Services of NY", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 588362360.46, "totalClaims": 3013352, "totalBenes": 131659, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1497933162", "name": "Millennium Health LLC", "specialty": "Clinical Medical Laboratory", "city": "San Diego", "state": "CA", "totalPaid": 579294569.06, "totalClaims": 30684871, "totalBenes": 15212055, "procCount": 72, "flags": [], "flagCount": 0}, {"npi": "1508025370", "name": "Amazing Home Care Services LLC", "specialty": "Home Health", "city": "Bronx", "state": "NY", "totalPaid": 576959418.11, "totalClaims": 3902694, "totalBenes": 196684, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1700828852", "name": "The Metrohealth System", "specialty": "General Acute Care Hospital", "city": "Cleveland", "state": "OH", "totalPaid": 574131419.67, "totalClaims": 10961069, "totalBenes": 8861329, "procCount": 1117, "flags": ["outlier_spending|unusual_cost_per_claim"], "flagCount": 1}, {"npi": "1891728697", "name": "Aeroflow INC", "specialty": "Durable Medical Equipment & Medical Supplies", "city": "Arden", "state": "NC", "totalPaid": 571724616.59, "totalClaims": 9598455, "totalBenes": 8329173, "procCount": 169, "flags": [], "flagCount": 0}, {"npi": "1720121106", "name": "Bancroft a New Jersey Nonprofit Corporation", "specialty": "Clinic/Center  Rehabilitation", "city": "Cherry Hill", "state": "NJ", "totalPaid": 560383490.86, "totalClaims": 1802919, "totalBenes": 115599, "procCount": 29, "flags": [], "flagCount": 0}, {"npi": "1083765689", "name": "Alabama Department of Mental Health and Mental Retardation", "specialty": "Community/Behavioral Health", "city": "Montgomery", "state": "AL", "totalPaid": 559483344.48, "totalClaims": 11242943, "totalBenes": 4007530, "procCount": 53, "flags": ["outlier_spending|beneficiary_stuffing"], "flagCount": 1}, {"npi": "1861506560", "name": "Children's Hospital Medical Center of Akron", "specialty": "General Acute Care Hospital  Children", "city": "Akron", "state": "OH", "totalPaid": 556646906.72, "totalClaims": 6634271, "totalBenes": 5639593, "procCount": 717, "flags": [], "flagCount": 0}, {"npi": "1760480503", "name": "Phoenix Children's Hospital", "specialty": "General Acute Care Hospital  Children", "city": "Phoenix", "state": "AZ", "totalPaid": 555705726.24, "totalClaims": 4185462, "totalBenes": 3641942, "procCount": 770, "flags": [], "flagCount": 0}, {"npi": "1275752065", "name": "Tempus Unlimited, Inc.", "specialty": "Voluntary or Charitable", "city": "Stoughton", "state": "MA", "totalPaid": 554866274.0, "totalClaims": 6632240, "totalBenes": 874467, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1619969458", "name": "Sun River Health Inc.", "specialty": "Clinic/Center  Federally Qualified Health Center (FQHC)", "city": "Peekskill", "state": "NY", "totalPaid": 546516638.84, "totalClaims": 4950940, "totalBenes": 3704323, "procCount": 243, "flags": [], "flagCount": 0}, {"npi": "1780045542", "name": "NV St Dv Mh Ds Desert Dev Center", "specialty": "Respite Care  Respite Care  Intellectual and/or Developmental Disabilities  Child", "city": "Las Vegas", "state": "NV", "totalPaid": 545383072.11, "totalClaims": 702749, "totalBenes": 233607, "procCount": 9, "flags": [], "flagCount": 0}, {"npi": "1184841926", "name": "Chinese-american Planning Council Home Attendant Program, Inc.", "specialty": "Home Health", "city": "New York", "state": "NY", "totalPaid": 541945209.98, "totalClaims": 2591493, "totalBenes": 110931, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1538371778", "name": "White Glove Community Care, Inc.", "specialty": "Case Management", "city": "Brick", "state": "NJ", "totalPaid": 540711656.62, "totalClaims": 2590168, "totalBenes": 166319, "procCount": 24, "flags": [], "flagCount": 0}, {"npi": "1427138726", "name": "Contra Costa County", "specialty": "General Acute Care Hospital", "city": "Martinez", "state": "CA", "totalPaid": 536975607.71, "totalClaims": 3178417, "totalBenes": 635354, "procCount": 64, "flags": [], "flagCount": 0}, {"npi": "1649462169", "name": "Attentive Home Care Agency INC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 536743822.0, "totalClaims": 3190349, "totalBenes": 147494, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1558781559", "name": "X-treme Home Care, Inc.", "specialty": "Voluntary or Charitable", "city": "Bayside", "state": "NY", "totalPaid": 533674569.64, "totalClaims": 3738812, "totalBenes": 215057, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1952591851", "name": "Community Health Center INC", "specialty": "Counselor, Addiction (Substance Use Disorder)", "city": "Middletown", "state": "CT", "totalPaid": 533305232.6, "totalClaims": 7332545, "totalBenes": 5612208, "procCount": 194, "flags": [], "flagCount": 0}, {"npi": "1275665457", "name": "New York Network Ipa INC", "specialty": "Exclusive Provider Organization", "city": "Brooklyn", "state": "NY", "totalPaid": 529965639.35, "totalClaims": 11162404, "totalBenes": 5333687, "procCount": 786, "flags": [], "flagCount": 0}, {"npi": "1487721155", "name": "Community Home Care Referral Service, Inc.", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 528001344.67, "totalClaims": 3194897, "totalBenes": 141994, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1881708899", "name": "Shield California Health Care Center INC", "specialty": "Durable Medical Equipment & Medical Supplies", "city": "Valencia", "state": "CA", "totalPaid": 522623914.18, "totalClaims": 10338535, "totalBenes": 10087772, "procCount": 152, "flags": [], "flagCount": 0}, {"npi": "1841302445", "name": "People Care Incorporated", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 521690136.62, "totalClaims": 2659476, "totalBenes": 134705, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1932541729", "name": "Public Partnerships LLC", "specialty": "Supports Brokerage", "city": "Alpharetta", "state": "GA", "totalPaid": 520349749.07, "totalClaims": 6692783, "totalBenes": 289131, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1336117621", "name": "Ambercare Home Health Care Corporation", "specialty": "Home Health", "city": "Albuquerque", "state": "NM", "totalPaid": 518099159.43, "totalClaims": 3854882, "totalBenes": 439830, "procCount": 21, "flags": [], "flagCount": 0}, {"npi": "1639172810", "name": "Bowen Health INC", "specialty": "Psychiatric Hospital", "city": "Warsaw", "state": "IN", "totalPaid": 509260010.31, "totalClaims": 4860818, "totalBenes": 1797777, "procCount": 38, "flags": [], "flagCount": 0}, {"npi": "1154317527", "name": "State of Mississippi - University of Mississippi Medical Center", "specialty": "General Acute Care Hospital", "city": "Jackson", "state": "MS", "totalPaid": 506717191.01, "totalClaims": 10036136, "totalBenes": 7533013, "procCount": 1278, "flags": [], "flagCount": 0}, {"npi": "1326170796", "name": "All Metro Home Care Services of New York, Inc.", "specialty": "Home Health", "city": "Lynbrook", "state": "NY", "totalPaid": 504367806.84, "totalClaims": 2593899, "totalBenes": 116620, "procCount": 8, "flags": [], "flagCount": 0}, {"npi": "1164535274", "name": "Zoll Services LLC", "specialty": "Durable Medical Equipment & Medical Supplies", "city": "Pittsburgh", "state": "PA", "totalPaid": 503987183.92, "totalClaims": 477988, "totalBenes": 391060, "procCount": 1, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1659769446", "name": "Brightview LLC", "specialty": "Internal Medicine  Addiction Medicine", "city": "Cincinnati", "state": "OH", "totalPaid": 501081513.79, "totalClaims": 7922041, "totalBenes": 4991324, "procCount": 85, "flags": [], "flagCount": 0}, {"npi": "1780630608", "name": "Rector & Visitors of the University of Virginia", "specialty": "General Acute Care Hospital", "city": "Charlottesville", "state": "VA", "totalPaid": 500546324.37, "totalClaims": 7181828, "totalBenes": 5089874, "procCount": 1033, "flags": [], "flagCount": 0}, {"npi": "1639473580", "name": "The Doral Investors Group, LLC Dba House Calls Home Care", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 497092595.69, "totalClaims": 2913712, "totalBenes": 145305, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1447886288", "name": "State of Missouri", "specialty": "Psychologist, Rehabilitation", "city": "Jefferson City", "state": "MO", "totalPaid": 493553307.08, "totalClaims": 3328210, "totalBenes": 845819, "procCount": 20, "flags": [], "flagCount": 0}, {"npi": "1184779332", "name": "Scottish Rite Children's Medical Center", "specialty": "Pediatrics  Pediatric Hematology-Oncology", "city": "Atlanta", "state": "GA", "totalPaid": 493376371.85, "totalClaims": 3556445, "totalBenes": 3026103, "procCount": 731, "flags": [], "flagCount": 0}, {"npi": "1831151455", "name": "Umass Memorial Medical Center, Inc.", "specialty": "General Acute Care Hospital", "city": "Worcester", "state": "MA", "totalPaid": 491010298.61, "totalClaims": 9725181, "totalBenes": 8157533, "procCount": 1162, "flags": [], "flagCount": 0}, {"npi": "1073730347", "name": "Ma-department of Social Services-rehab", "specialty": "Public Health or Welfare", "city": "Boston", "state": "MA", "totalPaid": 490725902.51, "totalClaims": 225775, "totalBenes": 106190, "procCount": 1, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1063436723", "name": "Wall Residences LLC", "specialty": "Community Based Residential Treatment Facility  Intellectual and/or Developmental Disabilities", "city": "Floyd", "state": "VA", "totalPaid": 481636325.67, "totalClaims": 89469, "totalBenes": 69770, "procCount": 15, "flags": [], "flagCount": 0}, {"npi": "1689712481", "name": "Caregivers Home Health TX INC", "specialty": "Nursing Care", "city": "Richardson", "state": "TX", "totalPaid": 477736242.1, "totalClaims": 3981132, "totalBenes": 440989, "procCount": 32, "flags": [], "flagCount": 0}, {"npi": "1568658821", "name": "County of Kern", "specialty": "Clinic/Center, Adult Mental Health", "city": "Bakersfield", "state": "CA", "totalPaid": 473443035.87, "totalClaims": 4280553, "totalBenes": 1046756, "procCount": 72, "flags": [], "flagCount": 0}, {"npi": "1528281532", "name": "Department of Developmental Services", "specialty": "Case Management", "city": "Springfield", "state": "MA", "totalPaid": 465361804.09, "totalClaims": 750654, "totalBenes": 157791, "procCount": 11, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1689747552", "name": "Unm Hospital", "specialty": "General Acute Care Hospital", "city": "Albuquerque", "state": "NM", "totalPaid": 463287047.17, "totalClaims": 6996849, "totalBenes": 6031480, "procCount": 1105, "flags": [], "flagCount": 0}, {"npi": "1275849283", "name": "Dap Health Inc.", "specialty": "Clinic/Center  Federally Qualified Health Center (FQHC)", "city": "Desert Hot Springs", "state": "CA", "totalPaid": 462989708.41, "totalClaims": 1868258, "totalBenes": 905720, "procCount": 136, "flags": [], "flagCount": 0}, {"npi": "1013377431", "name": "S & a Unified Home Care, Inc.", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 461002867.33, "totalClaims": 3056425, "totalBenes": 141887, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1114070752", "name": "National Mentor Healthcare", "specialty": "Day Training, Developmentally Disabled Services", "city": "Phoenix", "state": "AZ", "totalPaid": 459715463.31, "totalClaims": 2148532, "totalBenes": 99444, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1194832477", "name": "The New York and Presbyterian Hospital", "specialty": "General Acute Care Hospital", "city": "New York", "state": "NY", "totalPaid": 454946329.24, "totalClaims": 7110407, "totalBenes": 6221825, "procCount": 1005, "flags": [], "flagCount": 0}, {"npi": "1023140498", "name": "Commonwealth of Massachusetts-dds", "specialty": "Case Management", "city": "S Weymouth", "state": "MA", "totalPaid": 447546116.82, "totalClaims": 578640, "totalBenes": 121972, "procCount": 10, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1942339825", "name": "Commonwealth of Massachusetts", "specialty": "Case Management", "city": "Haverhill", "state": "MA", "totalPaid": 443959619.77, "totalClaims": 584358, "totalBenes": 163989, "procCount": 10, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1467832584", "name": "Marks Home Care Agency of Ny, INC", "specialty": "Home Health", "city": "Rego Park", "state": "NY", "totalPaid": 442602790.51, "totalClaims": 3279635, "totalBenes": 125691, "procCount": 1, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1023049236", "name": "The General Hospital Corporation", "specialty": "General Acute Care Hospital", "city": "Boston", "state": "MA", "totalPaid": 437796181.47, "totalClaims": 10261638, "totalBenes": 8585726, "procCount": 1127, "flags": [], "flagCount": 0}, {"npi": "1295842508", "name": "Alliance for Health", "specialty": "In Home Supportive Care", "city": "Brooklyn", "state": "NY", "totalPaid": 437462889.24, "totalClaims": 2238893, "totalBenes": 102921, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1982735643", "name": "Commonwealth of Mass-dds", "specialty": "Case Management", "city": "Walpole", "state": "MA", "totalPaid": 435792281.77, "totalClaims": 658415, "totalBenes": 125032, "procCount": 8, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1801276738", "name": "Palco, Inc.", "specialty": "Supports Brokerage", "city": "Maumelle", "state": "AR", "totalPaid": 435598227.46, "totalClaims": 4252057, "totalBenes": 378944, "procCount": 23, "flags": [], "flagCount": 0}, {"npi": "1477921609", "name": "Golden Touch Home Health LLC", "specialty": "Home Health", "city": "New York", "state": "NY", "totalPaid": 433777650.85, "totalClaims": 3250176, "totalBenes": 147823, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1881630614", "name": "Quest Diagnostics LLC IL", "specialty": "Clinical Medical Laboratory", "city": "Wood Dale", "state": "IL", "totalPaid": 429837133.54, "totalClaims": 29324170, "totalBenes": 26928927, "procCount": 569, "flags": [], "flagCount": 0}, {"npi": "1740556844", "name": "Longevity Health Services LLC", "specialty": "Home Health", "city": "Flushing", "state": "NY", "totalPaid": 427172837.18, "totalClaims": 3198791, "totalBenes": 133080, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1609858729", "name": "Rgh Enterprises, LLC", "specialty": "Prosthetic/Orthotic Supplier", "city": "Twinsburg", "state": "OH", "totalPaid": 424768920.48, "totalClaims": 5838333, "totalBenes": 5010330, "procCount": 283, "flags": [], "flagCount": 0}, {"npi": "1316943566", "name": "Acadian Ambulance Service Inc.", "specialty": "Ambulance  Air Transport", "city": "Lafayette", "state": "LA", "totalPaid": 422725253.93, "totalClaims": 3712955, "totalBenes": 2598536, "procCount": 22, "flags": [], "flagCount": 0}, {"npi": "1962502229", "name": "Integra Partners LLC", "specialty": "Orthotic Fitter", "city": "Troy", "state": "MI", "totalPaid": 422304653.87, "totalClaims": 6712742, "totalBenes": 5679078, "procCount": 473, "flags": [], "flagCount": 0}, {"npi": "1043348808", "name": "Norton Hospitals INC", "specialty": "General Acute Care Hospital", "city": "Louisville", "state": "KY", "totalPaid": 419580329.27, "totalClaims": 5948130, "totalBenes": 4240714, "procCount": 892, "flags": [], "flagCount": 0}, {"npi": "1417002007", "name": "Ultimate Care, Inc.", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 419389189.82, "totalClaims": 2593462, "totalBenes": 132582, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1922463751", "name": "Veyo, LLC", "specialty": "Secured Medical Transport (VAN)", "city": "Lake St Louis", "state": "MO", "totalPaid": 416783154.95, "totalClaims": 20303015, "totalBenes": 4658499, "procCount": 19, "flags": [], "flagCount": 0}, {"npi": "1205378379", "name": "True Family Care Services, LLC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 412840826.71, "totalClaims": 2952190, "totalBenes": 156033, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1730451071", "name": "Coordinated Behavioral Care INC", "specialty": "Case Management", "city": "New York", "state": "NY", "totalPaid": 407155351.56, "totalClaims": 1213709, "totalBenes": 1212752, "procCount": 7, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1679524961", "name": "Legacy Community Health Services, INC", "specialty": "Pediatrics", "city": "Houston", "state": "TX", "totalPaid": 406511580.96, "totalClaims": 4851928, "totalBenes": 3962759, "procCount": 217, "flags": [], "flagCount": 0}, {"npi": "1295261683", "name": "The Devereux Foundation", "specialty": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Cherry Hill", "state": "NJ", "totalPaid": 401151949.83, "totalClaims": 1028417, "totalBenes": 48584, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1255333597", "name": "New England Home Care Inc.", "specialty": "Home Health", "city": "Rocky Hill", "state": "CT", "totalPaid": 400057183.42, "totalClaims": 6765929, "totalBenes": 527472, "procCount": 12, "flags": [], "flagCount": 0}, {"npi": "1962432682", "name": "Advance Hi-tech Nursing Inc.", "specialty": "Technician  Personal Care Attendant", "city": "San Antonio", "state": "TX", "totalPaid": 399821248.65, "totalClaims": 6348236, "totalBenes": 409806, "procCount": 8, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1063525152", "name": "Montefiore Medical Center", "specialty": "Anesthesiology", "city": "Bronx", "state": "NY", "totalPaid": 398402839.29, "totalClaims": 6356829, "totalBenes": 5789939, "procCount": 710, "flags": [], "flagCount": 0}, {"npi": "1437368891", "name": "Alaska Native Tribal Health Consortium", "specialty": "General Acute Care Hospital", "city": "Anchorage", "state": "AK", "totalPaid": 397151976.52, "totalClaims": 2150032, "totalBenes": 1906473, "procCount": 506, "flags": [], "flagCount": 0}, {"npi": "1841739752", "name": "Committed Home Care Inc.", "specialty": "Home Health", "city": "Monroe", "state": "NY", "totalPaid": 395462114.75, "totalClaims": 3003287, "totalBenes": 183187, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1619334323", "name": "Consumer Direct District of Columbia", "specialty": "Home Health", "city": "Missoula", "state": "MT", "totalPaid": 392677097.06, "totalClaims": 1917345, "totalBenes": 70667, "procCount": 8, "flags": [], "flagCount": 0}, {"npi": "1750769345", "name": "Caring Professionals, Inc.", "specialty": "Home Health", "city": "Forest Hills", "state": "NY", "totalPaid": 391512861.78, "totalClaims": 2677952, "totalBenes": 116495, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1780921387", "name": "Js Home Care Agency of NY", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 388604053.36, "totalClaims": 2912499, "totalBenes": 128533, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1053688572", "name": "North Shore-lij Medical PC", "specialty": "Urology", "city": "Great Neck", "state": "NY", "totalPaid": 387661175.62, "totalClaims": 5303467, "totalBenes": 4901182, "procCount": 512, "flags": [], "flagCount": 0}, {"npi": "1548212988", "name": "Children's Hospital Medical Center", "specialty": "Clinic/Center, Primary Care", "city": "Cincinnati", "state": "OH", "totalPaid": 386699974.4, "totalClaims": 5296668, "totalBenes": 4360064, "procCount": 918, "flags": [], "flagCount": 0}, {"npi": "1114931391", "name": "Texas Department of State Health", "specialty": "Clinical Medical Laboratory", "city": "Austin", "state": "TX", "totalPaid": 381851367.32, "totalClaims": 2710132, "totalBenes": 2323406, "procCount": 12, "flags": ["unusual_cost_per_claim|spending_spike", "explosive_growth"], "flagCount": 2}, {"npi": "1588659528", "name": "Rhode Island Hospital", "specialty": "General Acute Care Hospital", "city": "Providence", "state": "RI", "totalPaid": 380766370.12, "totalClaims": 2167654, "totalBenes": 1563033, "procCount": 667, "flags": [], "flagCount": 0}, {"npi": "1215027966", "name": "Newark Beth Israel Medical Center INC", "specialty": "General Acute Care Hospital", "city": "Newark", "state": "NJ", "totalPaid": 380157757.56, "totalClaims": 3336430, "totalBenes": 2803432, "procCount": 673, "flags": [], "flagCount": 0}, {"npi": "1841476009", "name": "Infiniti Home Care INC", "specialty": "Home Health", "city": "Forest Hills", "state": "NY", "totalPaid": 378766712.82, "totalClaims": 1912509, "totalBenes": 87155, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1144349150", "name": "Seven Counties Services Inc.", "specialty": "Clinic/Center  Developmental Disabilities", "city": "Louisville", "state": "KY", "totalPaid": 375843412.19, "totalClaims": 2713342, "totalBenes": 415148, "procCount": 12, "flags": ["unusual_cost_per_claim|beneficiary_stuffing"], "flagCount": 1}, {"npi": "1215934005", "name": "New York Health Care INC", "specialty": "Home Health", "city": "Valley Stream", "state": "NY", "totalPaid": 375327737.16, "totalClaims": 2111038, "totalBenes": 108924, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1487655064", "name": "Baystate Medical Center INC", "specialty": "General Acute Care Hospital", "city": "Springfield", "state": "MA", "totalPaid": 374467033.51, "totalClaims": 7805534, "totalBenes": 6765506, "procCount": 895, "flags": [], "flagCount": 0}, {"npi": "1124231782", "name": "Moore Center Services Inc.", "specialty": "Early Intervention Provider Agency", "city": "Manchester", "state": "NH", "totalPaid": 374255588.68, "totalClaims": 1418547, "totalBenes": 164500, "procCount": 15, "flags": [], "flagCount": 0}, {"npi": "1982747192", "name": "State of Alabama Department of Public Health", "specialty": "Clinical Medical Laboratory", "city": "Prattville", "state": "AL", "totalPaid": 373629555.35, "totalClaims": 4710077, "totalBenes": 4035906, "procCount": 49, "flags": [], "flagCount": 0}, {"npi": "1285641514", "name": "Long Island Jewish Medical Center", "specialty": "General Acute Care Hospital", "city": "New Hyde Park", "state": "NY", "totalPaid": 370910465.95, "totalClaims": 4006664, "totalBenes": 3241761, "procCount": 745, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1891227203", "name": "Dhcare NY LLC", "specialty": "Home Health", "city": "Jamaica", "state": "NY", "totalPaid": 369966268.09, "totalClaims": 2493293, "totalBenes": 122523, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1265483457", "name": "Community Mental Health Authority of Clinton Eaton Ingham Counties", "specialty": "Clinic/Center  Mental Health (Including Community Mental Health Center)", "city": "Lansing", "state": "MI", "totalPaid": 368389281.59, "totalClaims": 2195165, "totalBenes": 752950, "procCount": 77, "flags": [], "flagCount": 0}, {"npi": "1346285657", "name": "University of Rochester", "specialty": "General Acute Care Hospital", "city": "Rochester", "state": "NY", "totalPaid": 368317925.64, "totalClaims": 4872721, "totalBenes": 3939263, "procCount": 912, "flags": [], "flagCount": 0}, {"npi": "1083715460", "name": "New York City Health and Hospitals Corporation", "specialty": "Ambulance, Land Transport", "city": "Brooklyn", "state": "NY", "totalPaid": 363841502.92, "totalClaims": 2606841, "totalBenes": 2249887, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1083632897", "name": "Mental Health Cooperative INC", "specialty": "Clinic/Center  Mental Health (Including Community Mental Health Center)", "city": "Nashville", "state": "TN", "totalPaid": 363787662.74, "totalClaims": 5654118, "totalBenes": 4346807, "procCount": 58, "flags": [], "flagCount": 0}, {"npi": "1396767430", "name": "Centerstone of Tennessee Inc.", "specialty": "Clinic/Center  Mental Health (Including Community Mental Health Center)", "city": "Nashville", "state": "TN", "totalPaid": 363759740.7, "totalClaims": 4583159, "totalBenes": 2295055, "procCount": 40, "flags": ["unusual_cost_per_claim|beneficiary_stuffing"], "flagCount": 1}, {"npi": "1093826596", "name": "Innovive Health of Massachusetts LLC", "specialty": "Home Health", "city": "Medford", "state": "MA", "totalPaid": 363489576.56, "totalClaims": 6585441, "totalBenes": 448579, "procCount": 18, "flags": [], "flagCount": 0}, {"npi": "1336560390", "name": "Elite Choice LLC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 363330596.57, "totalClaims": 2456267, "totalBenes": 125656, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1215998323", "name": "University Hospital", "specialty": "General Acute Care Hospital", "city": "Newark", "state": "NJ", "totalPaid": 362912756.86, "totalClaims": 4711661, "totalBenes": 3979359, "procCount": 717, "flags": [], "flagCount": 0}, {"npi": "1104176676", "name": "Allies, Inc.", "specialty": "Day Training, Developmentally Disabled Services", "city": "Hamilton", "state": "NJ", "totalPaid": 362479854.44, "totalClaims": 975307, "totalBenes": 41349, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1487602736", "name": "El Rio Santa Cruz Neighborhood Health Center, INC", "specialty": "Clinic/Center, Federally Qualified Health Center (FQHC)", "city": "Tucson", "state": "AZ", "totalPaid": 360316532.96, "totalClaims": 4351444, "totalBenes": 3636486, "procCount": 347, "flags": [], "flagCount": 0}, {"npi": "1871651588", "name": "South Shore Home Health Service, Inc.", "specialty": "In Home Supportive Care", "city": "Ronkonkoma", "state": "NY", "totalPaid": 356441972.32, "totalClaims": 1841668, "totalBenes": 78286, "procCount": 8, "flags": [], "flagCount": 0}, {"npi": "1821456526", "name": "Community Access Unlimited", "specialty": "Supports Brokerage", "city": "Elizabeth", "state": "NJ", "totalPaid": 355702412.85, "totalClaims": 855357, "totalBenes": 93205, "procCount": 8, "flags": [], "flagCount": 0}, {"npi": "1568442309", "name": "The Cooper Health System", "specialty": "General Acute Care Hospital", "city": "Camden", "state": "NJ", "totalPaid": 354034396.34, "totalClaims": 4611446, "totalBenes": 3670899, "procCount": 801, "flags": [], "flagCount": 0}, {"npi": "1487603585", "name": "Cambridge Public Health Commission", "specialty": "General Acute Care Hospital", "city": "Cambridge", "state": "MA", "totalPaid": 352571667.32, "totalClaims": 7863886, "totalBenes": 6772848, "procCount": 815, "flags": [], "flagCount": 0}, {"npi": "1609099910", "name": "Department of Developmental Services", "specialty": "Case Management", "city": "Fitchburg", "state": "MA", "totalPaid": 352210923.5, "totalClaims": 390343, "totalBenes": 121791, "procCount": 13, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1669878567", "name": "Mountain Park Health Center", "specialty": "Clinic/Center, Federally Qualified Health Center (FQHC)", "city": "Phoenix", "state": "AZ", "totalPaid": 352134469.09, "totalClaims": 4669455, "totalBenes": 3674152, "procCount": 223, "flags": [], "flagCount": 0}, {"npi": "1114058872", "name": "Commonwealth of Mass-dds", "specialty": "Case Management", "city": "Framingham", "state": "MA", "totalPaid": 350130933.04, "totalClaims": 341759, "totalBenes": 93672, "procCount": 10, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1588157424", "name": "Bhpn LLC", "specialty": "Case Management", "city": "Walnut Creek", "state": "CA", "totalPaid": 350102592.29, "totalClaims": 2404841, "totalBenes": 559718, "procCount": 12, "flags": [], "flagCount": 0}, {"npi": "1790826600", "name": "Stillaguamish Tribe of Indians", "specialty": "Clinic/Center  Rehabilitation  Substance Use Disorder", "city": "Arlington", "state": "WA", "totalPaid": 349263532.75, "totalClaims": 1966034, "totalBenes": 166573, "procCount": 13, "flags": ["unusual_cost_per_claim|beneficiary_stuffing"], "flagCount": 1}, {"npi": "1902023526", "name": "Cumberland River Behavioral Health INC", "specialty": "Community/Behavioral Health", "city": "Corbin", "state": "KY", "totalPaid": 349237896.32, "totalClaims": 2742266, "totalBenes": 688841, "procCount": 52, "flags": ["unusual_cost_per_claim|beneficiary_stuffing"], "flagCount": 1}, {"npi": "1649301789", "name": "Easter Seals Midwest", "specialty": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Ballwin", "state": "MO", "totalPaid": 348960028.71, "totalClaims": 812078, "totalBenes": 60805, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1417027558", "name": "Bronxcare Health System", "specialty": "General Acute Care Hospital", "city": "Bronx", "state": "NY", "totalPaid": 348432638.55, "totalClaims": 5745382, "totalBenes": 4397741, "procCount": 682, "flags": [], "flagCount": 0}, {"npi": "1417349622", "name": "The Collaborative for Children and Families", "specialty": "Case Manager/Care Coordinator", "city": "New York", "state": "NY", "totalPaid": 347298880.67, "totalClaims": 563906, "totalBenes": 563117, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1215913470", "name": "Presbyterian Healthcare Services", "specialty": "Emergency Medicine", "city": "Albuquerque", "state": "NM", "totalPaid": 345535537.66, "totalClaims": 6794821, "totalBenes": 6064086, "procCount": 864, "flags": [], "flagCount": 0}, {"npi": "1023199965", "name": "Macomb Oakland Regional Center Inc.", "specialty": "Community/Behavioral Health", "city": "Auburn Hills", "state": "MI", "totalPaid": 342635897.57, "totalClaims": 2637648, "totalBenes": 581456, "procCount": 54, "flags": [], "flagCount": 0}, {"npi": "1417941774", "name": "J&b Medical Supply CO INC", "specialty": "Durable Medical Equipment & Medical Supplies", "city": "Wixom", "state": "MI", "totalPaid": 338970874.31, "totalClaims": 8217300, "totalBenes": 7704952, "procCount": 142, "flags": [], "flagCount": 0}, {"npi": "1194028969", "name": "Community Options, Inc.", "specialty": "Day Training, Developmentally Disabled Services", "city": "Princeton", "state": "NJ", "totalPaid": 337944535.2, "totalClaims": 846562, "totalBenes": 33512, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1689744856", "name": "Jersey City Medical Center", "specialty": "General Acute Care Hospital", "city": "Jersey City", "state": "NJ", "totalPaid": 336381755.53, "totalClaims": 3176722, "totalBenes": 2434439, "procCount": 582, "flags": [], "flagCount": 0}, {"npi": "1497014252", "name": "Advantage Management Associates Inc.", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 335149379.83, "totalClaims": 1612978, "totalBenes": 71481, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1134144801", "name": "Henry Ford Health System", "specialty": "General Acute Care Hospital", "city": "Detroit", "state": "MI", "totalPaid": 334910515.15, "totalClaims": 9624453, "totalBenes": 8665611, "procCount": 1030, "flags": [], "flagCount": 0}, {"npi": "1386773273", "name": "Commonwealth of Massachusetts", "specialty": "Case Management", "city": "Arlington", "state": "MA", "totalPaid": 334275022.02, "totalClaims": 272805, "totalBenes": 88030, "procCount": 8, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1073854451", "name": "New Jersey Division of Developmental Disabilities", "specialty": "Day Training  Developmentally Disabled Services", "city": "Hamilton", "state": "NJ", "totalPaid": 333873624.61, "totalClaims": 737688, "totalBenes": 145408, "procCount": 11, "flags": ["unusual_cost_per_claim|spending_spike"], "flagCount": 1}, {"npi": "1457456279", "name": "Hmh Hospitals Corporation", "specialty": "Ambulance", "city": "Hackensack", "state": "NJ", "totalPaid": 333032793.87, "totalClaims": 3535028, "totalBenes": 2772070, "procCount": 656, "flags": [], "flagCount": 0}, {"npi": "1770700221", "name": "Howard Center INC", "specialty": "Day Training  Developmentally Disabled Services", "city": "Burlington", "state": "VT", "totalPaid": 332176357.08, "totalClaims": 897799, "totalBenes": 144765, "procCount": 25, "flags": [], "flagCount": 0}, {"npi": "1164572616", "name": "The Tungland Company, LLC", "specialty": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Phoenix", "state": "AZ", "totalPaid": 331813482.83, "totalClaims": 1223875, "totalBenes": 53230, "procCount": 10, "flags": [], "flagCount": 0}, {"npi": "1235677162", "name": "Link Homecare-cdpap Llc.", "specialty": "Home Health", "city": "South Ozone Park", "state": "NY", "totalPaid": 331685847.39, "totalClaims": 2063157, "totalBenes": 109218, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1447641493", "name": "Chhuny LLC", "specialty": "Case Management", "city": "Rochester", "state": "NY", "totalPaid": 330988084.83, "totalClaims": 628939, "totalBenes": 628650, "procCount": 6, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1710087127", "name": "Children's Hospital Corporation", "specialty": "Clinic/Center", "city": "Boston", "state": "MA", "totalPaid": 330793079.99, "totalClaims": 4733583, "totalBenes": 4250778, "procCount": 852, "flags": [], "flagCount": 0}, {"npi": "1619363678", "name": "Horizon Home Care Services, Inc.", "specialty": "Home Health", "city": "Bronx", "state": "NY", "totalPaid": 330224737.67, "totalClaims": 2571655, "totalBenes": 160732, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1295869428", "name": "Commonwealth of Massachusetts-dds", "specialty": "Case Management", "city": "Taunton", "state": "MA", "totalPaid": 326663146.06, "totalClaims": 277210, "totalBenes": 89137, "procCount": 9, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1245430438", "name": "Commonwealth of Pennsylvania Department of Education", "specialty": "Local Education Agency (LEA)", "city": "West Hazleton", "state": "PA", "totalPaid": 326016792.19, "totalClaims": 12967883, "totalBenes": 3812565, "procCount": 20, "flags": ["beneficiary_stuffing|spending_spike"], "flagCount": 1}, {"npi": "1437541133", "name": "The Royal Care Fi LLC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 324861584.26, "totalClaims": 2328850, "totalBenes": 111670, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1992980387", "name": "Abound Health, LLC", "specialty": "In Home Supportive Care", "city": "Mint Hill", "state": "NC", "totalPaid": 324296314.6, "totalClaims": 2201164, "totalBenes": 116627, "procCount": 24, "flags": [], "flagCount": 0}, {"npi": "1669462420", "name": "St Josephs University Medical Center Inc.", "specialty": "General Acute Care Hospital", "city": "Paterson", "state": "NJ", "totalPaid": 322401873.4, "totalClaims": 4731861, "totalBenes": 3945000, "procCount": 746, "flags": [], "flagCount": 0}, {"npi": "1750823381", "name": "Family Wellness Program, LLC", "specialty": "Home Health", "city": "Bronx", "state": "NY", "totalPaid": 320007764.49, "totalClaims": 2034473, "totalBenes": 93723, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1992781470", "name": "Centerstone of Indiana, Inc.", "specialty": "Community/Behavioral Health", "city": "Bloomington", "state": "IN", "totalPaid": 318861367.82, "totalClaims": 3613499, "totalBenes": 1437016, "procCount": 45, "flags": [], "flagCount": 0}, {"npi": "1003878539", "name": "Regents of the University of Michigan", "specialty": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment", "city": "Ann Arbor", "state": "MI", "totalPaid": 317769537.22, "totalClaims": 8665549, "totalBenes": 7374224, "procCount": 1275, "flags": [], "flagCount": 0}, {"npi": "1811062763", "name": "Mid Atlantic Pemanente Medical Group", "specialty": "Health Maintenance Organization", "city": "Rockville", "state": "MD", "totalPaid": 317626963.91, "totalClaims": 10112770, "totalBenes": 9572370, "procCount": 656, "flags": [], "flagCount": 0}, {"npi": "1770795536", "name": "Mississippi Department of Rehabilitaion Svs", "specialty": "Case Management", "city": "Jackson", "state": "MS", "totalPaid": 317166187.16, "totalClaims": 782091, "totalBenes": 308536, "procCount": 6, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1447382817", "name": "Commonwealth of Massachusetts-dds", "specialty": "Case Management", "city": "Plymouth", "state": "MA", "totalPaid": 316561274.43, "totalClaims": 324256, "totalBenes": 86470, "procCount": 10, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1770696643", "name": "Hartford Hospital", "specialty": "General Acute Care Hospital", "city": "Hartford", "state": "CT", "totalPaid": 316278903.31, "totalClaims": 7407519, "totalBenes": 4632306, "procCount": 893, "flags": [], "flagCount": 0}, {"npi": "1437156635", "name": "Easter Seals Delaware & Marylands Eastern Shore INC", "specialty": "Psychologist  Intellectual & Developmental Disabilities", "city": "New Castle", "state": "DE", "totalPaid": 315865302.27, "totalClaims": 1163098, "totalBenes": 390959, "procCount": 33, "flags": [], "flagCount": 0}, {"npi": "1417406679", "name": "M and N Home Care Services LLC", "specialty": "In Home Supportive Care", "city": "Jamaica", "state": "NY", "totalPaid": 309887048.5, "totalClaims": 2158444, "totalBenes": 93232, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1245364595", "name": "Commonwealth of Massachusetts-dds", "specialty": "Case Management", "city": "Brockton", "state": "MA", "totalPaid": 309701914.58, "totalClaims": 401166, "totalBenes": 93019, "procCount": 9, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1245239540", "name": "Home Care Delivered, Inc.", "specialty": "Durable Medical Equipment & Medical Supplies", "city": "Richmond", "state": "VA", "totalPaid": 309522643.49, "totalClaims": 5888511, "totalBenes": 5132349, "procCount": 183, "flags": [], "flagCount": 0}, {"npi": "1730421553", "name": "Addiction Recovery Care LLC", "specialty": "Community Based Residential Treatment Facility, Mental Illness", "city": "Louisa", "state": "KY", "totalPaid": 308959225.26, "totalClaims": 2428894, "totalBenes": 556196, "procCount": 38, "flags": [], "flagCount": 0}, {"npi": "1558756296", "name": "Excel Copmanion Care INC", "specialty": "Home Health", "city": "Warminster", "state": "PA", "totalPaid": 308393772.85, "totalClaims": 1727955, "totalBenes": 74512, "procCount": 2, "flags": ["explosive_growth", "procedure_concentration"], "flagCount": 2}, {"npi": "1174649644", "name": "Accra Care", "specialty": "Home Health", "city": "Minnetonka", "state": "MN", "totalPaid": 306828528.07, "totalClaims": 3429973, "totalBenes": 213562, "procCount": 11, "flags": [], "flagCount": 0}, {"npi": "1205965258", "name": "Commonwealth of Massachusetts", "specialty": "Case Management", "city": "Lowell", "state": "MA", "totalPaid": 306218639.71, "totalClaims": 326169, "totalBenes": 96646, "procCount": 8, "flags": [], "flagCount": 0}, {"npi": "1629283197", "name": "Altamed Health Services Corp.", "specialty": "Clinic/Center  Federally Qualified Health Center (FQHC)", "city": "Los Angeles", "state": "CA", "totalPaid": 305796831.15, "totalClaims": 2506116, "totalBenes": 1870524, "procCount": 141, "flags": ["unusual_cost_per_claim|spending_spike"], "flagCount": 1}, {"npi": "1902811342", "name": "New York Psychotherapy and Counseling Center", "specialty": "Community/Behavioral Health", "city": "Jamaica", "state": "NY", "totalPaid": 303978534.04, "totalClaims": 3062701, "totalBenes": 1513845, "procCount": 18, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1619341716", "name": "Nyu Langone Hospitals", "specialty": "General Acute Care Hospital", "city": "Brooklyn", "state": "NY", "totalPaid": 303176085.0, "totalClaims": 4406436, "totalBenes": 3200331, "procCount": 535, "flags": ["unusual_cost_per_claim|beneficiary_stuffing|spending_spike"], "flagCount": 1}, {"npi": "1790835296", "name": "Beacon Specialized Living Services Inc.", "specialty": "Residential Treatment Facility  Intellectual and/or Developmental Disabilities", "city": "Bangor", "state": "MI", "totalPaid": 302447890.81, "totalClaims": 411853, "totalBenes": 72846, "procCount": 29, "flags": [], "flagCount": 0}, {"npi": "1700960580", "name": "Disability Services of the Southwest, INC", "specialty": "Day Training, Developmentally Disabled Services", "city": "San Antonio", "state": "TX", "totalPaid": 302345323.23, "totalClaims": 3121516, "totalBenes": 396931, "procCount": 25, "flags": [], "flagCount": 0}, {"npi": "1730278409", "name": "Parkshore Home Health Care LLC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 300656752.38, "totalClaims": 1933274, "totalBenes": 83303, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1255385399", "name": "Macomb County Community Mental Health", "specialty": "Clinic/Center  Mental Health (Including Community Mental Health Center)", "city": "Clinton Twp", "state": "MI", "totalPaid": 299955611.69, "totalClaims": 1212453, "totalBenes": 712123, "procCount": 55, "flags": [], "flagCount": 0}, {"npi": "1972809051", "name": "American Logistics Llc.", "specialty": "Transportation Broker", "city": "St. George", "state": "UT", "totalPaid": 299874734.94, "totalClaims": 14684050, "totalBenes": 3024358, "procCount": 24, "flags": ["beneficiary_stuffing|spending_spike"], "flagCount": 1}, {"npi": "1891799227", "name": "Norton Hospitals, INC", "specialty": "General Acute Care Hospital", "city": "Louisville", "state": "KY", "totalPaid": 299002604.18, "totalClaims": 3175044, "totalBenes": 2209384, "procCount": 826, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1104981356", "name": "City of New York", "specialty": "Local Education Agency (LEA)", "city": "Brooklyn", "state": "NY", "totalPaid": 298943537.56, "totalClaims": 8818063, "totalBenes": 2519208, "procCount": 15, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1851422661", "name": "Commonwealth of Mass-dds", "specialty": "Case Management", "city": "Somerville", "state": "MA", "totalPaid": 298421390.0, "totalClaims": 334258, "totalBenes": 75987, "procCount": 8, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1225468663", "name": "Paramount Home Care Agency, INC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 298393492.98, "totalClaims": 1928966, "totalBenes": 77177, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1538105366", "name": "Sonora Quest Laboratories LLC", "specialty": "Clinical Medical Laboratory", "city": "Phoenix", "state": "AZ", "totalPaid": 298054860.64, "totalClaims": 28495059, "totalBenes": 26030596, "procCount": 548, "flags": [], "flagCount": 0}, {"npi": "1275197055", "name": "Intelliride LLC", "specialty": "Transportation Broker", "city": "Lombard", "state": "IL", "totalPaid": 297879003.02, "totalClaims": 4565275, "totalBenes": 1457698, "procCount": 15, "flags": ["unusual_cost_per_claim|beneficiary_stuffing"], "flagCount": 1}, {"npi": "1700120888", "name": "Hamaspik of Kings County Inc.", "specialty": "Case Management", "city": "Brooklyn", "state": "NY", "totalPaid": 295371494.01, "totalClaims": 1141499, "totalBenes": 77982, "procCount": 23, "flags": [], "flagCount": 0}, {"npi": "1902921380", "name": "Cornell Scott Hill Health Corporation", "specialty": "Psychiatry & Neurology, Child & Adolescent Psychiatry", "city": "New Haven", "state": "CT", "totalPaid": 294234308.59, "totalClaims": 3878634, "totalBenes": 2650396, "procCount": 203, "flags": [], "flagCount": 0}, {"npi": "1932166980", "name": "Valley Behavioral Health Incorporated", "specialty": "Psychiatry & Neurology  Psychiatry", "city": "Salt Lake City", "state": "UT", "totalPaid": 293427653.4, "totalClaims": 2690066, "totalBenes": 713246, "procCount": 85, "flags": [], "flagCount": 0}, {"npi": "1720471568", "name": "Magic Home Care, LLC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 293400053.33, "totalClaims": 1917268, "totalBenes": 77434, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1164887808", "name": "Tempus Unlimited, Inc.", "specialty": "Voluntary or Charitable", "city": "Stoughton", "state": "MA", "totalPaid": 290808661.47, "totalClaims": 8662499, "totalBenes": 962290, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1457379448", "name": "Dayton Children's Hospital", "specialty": "General Acute Care Hospital, Children", "city": "Dayton", "state": "OH", "totalPaid": 290632680.64, "totalClaims": 3020929, "totalBenes": 2489410, "procCount": 620, "flags": [], "flagCount": 0}, {"npi": "1295726032", "name": "Laboratory Corporation of America Holdings", "specialty": "Clinical Medical Laboratory", "city": "Birmingham", "state": "AL", "totalPaid": 289116238.95, "totalClaims": 29662567, "totalBenes": 25930912, "procCount": 509, "flags": [], "flagCount": 0}, {"npi": "1912919481", "name": "Childrens Hospital of the Kings Daughters INC", "specialty": "Social Worker, Clinical", "city": "Norfolk", "state": "VA", "totalPaid": 288158032.02, "totalClaims": 3749193, "totalBenes": 2995111, "procCount": 586, "flags": [], "flagCount": 0}, {"npi": "1356334577", "name": "Minimed Distribution Corp.", "specialty": "Durable Medical Equipment & Medical Supplies", "city": "Northridge", "state": "CA", "totalPaid": 288086730.68, "totalClaims": 1451225, "totalBenes": 1328460, "procCount": 22, "flags": [], "flagCount": 0}, {"npi": "1992910152", "name": "Bridgeport Hospital", "specialty": "General Acute Care Hospital", "city": "Bridgeport", "state": "CT", "totalPaid": 287340554.38, "totalClaims": 7011413, "totalBenes": 5503645, "procCount": 702, "flags": [], "flagCount": 0}, {"npi": "1215921457", "name": "Childrens Hospital of Philadelphia", "specialty": "General Acute Care Hospital  Children", "city": "Philadelphia", "state": "PA", "totalPaid": 286882029.6, "totalClaims": 1676908, "totalBenes": 1357054, "procCount": 540, "flags": ["unusual_cost_per_claim|beneficiary_stuffing"], "flagCount": 1}, {"npi": "1891765178", "name": "Cook Children's Medical Center", "specialty": "General Acute Care Hospital  Children", "city": "Fort Worth", "state": "TX", "totalPaid": 286651231.61, "totalClaims": 1086550, "totalBenes": 1010376, "procCount": 238, "flags": ["unusual_cost_per_claim|spending_spike", "explosive_growth"], "flagCount": 2}, {"npi": "1700947298", "name": "Gateways Community Services", "specialty": "Early Intervention Provider Agency", "city": "Nashua", "state": "NH", "totalPaid": 285983083.81, "totalClaims": 1150766, "totalBenes": 164486, "procCount": 18, "flags": [], "flagCount": 0}, {"npi": "1619224029", "name": "Tri-med Home Care Services, Inc.", "specialty": "Home Health", "city": "Hewlett", "state": "NY", "totalPaid": 285833300.69, "totalClaims": 1549034, "totalBenes": 68943, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1730366824", "name": "Health Connect America INC", "specialty": "Community/Behavioral Health", "city": "Franklin", "state": "TN", "totalPaid": 285527371.94, "totalClaims": 3847864, "totalBenes": 1729649, "procCount": 52, "flags": ["unusual_cost_per_claim|beneficiary_stuffing"], "flagCount": 1}, {"npi": "1407855240", "name": "Rocky Mountain Holdings, LLC", "specialty": "Ambulance, Air Transport", "city": "Sylacauga", "state": "AL", "totalPaid": 285062222.19, "totalClaims": 225012, "totalBenes": 199297, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1891092649", "name": "Attending Home Care Services, LLC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 284703394.22, "totalClaims": 1498229, "totalBenes": 67336, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1306388525", "name": "Family Counseling Center, INC", "specialty": "Community/Behavioral Health", "city": "Kennett", "state": "MO", "totalPaid": 284456363.2, "totalClaims": 2555591, "totalBenes": 623790, "procCount": 37, "flags": [], "flagCount": 0}, {"npi": "1639711294", "name": "Uofl Health-louisville INC", "specialty": "Psychiatric Hospital", "city": "Louisville", "state": "KY", "totalPaid": 283151941.18, "totalClaims": 4469131, "totalBenes": 3188351, "procCount": 584, "flags": [], "flagCount": 0}, {"npi": "1003039322", "name": "Department of Developmental Services", "specialty": "Case Management", "city": "Worcester", "state": "MA", "totalPaid": 282079072.51, "totalClaims": 303939, "totalBenes": 105475, "procCount": 10, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1518022763", "name": "Granite Bay Care INC", "specialty": "Residential Treatment Facility  Intellectual and/or Developmental Disabilities", "city": "Portland", "state": "ME", "totalPaid": 281653043.34, "totalClaims": 226124, "totalBenes": 15911, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1750368700", "name": "Laboratory Corporation of America Holdings", "specialty": "Clinical Medical Laboratory", "city": "Research Triangle Park", "state": "NC", "totalPaid": 281437556.38, "totalClaims": 4783978, "totalBenes": 4311882, "procCount": 373, "flags": [], "flagCount": 0}, {"npi": "1679602502", "name": "Commonwealth of Massachusetts", "specialty": "Case Management", "city": "Wakefield", "state": "MA", "totalPaid": 280884596.78, "totalClaims": 270700, "totalBenes": 93611, "procCount": 9, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1265802847", "name": "Caringhouse Projects", "specialty": "Respite Care", "city": "Atlantic City", "state": "NJ", "totalPaid": 280807223.9, "totalClaims": 651482, "totalBenes": 23931, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1952852113", "name": "Abest Care INC", "specialty": "Home Health", "city": "Flushing", "state": "NY", "totalPaid": 280570632.1, "totalClaims": 2122166, "totalBenes": 97069, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1982869459", "name": "B& H Healtcare Services INC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 280435943.42, "totalClaims": 1638380, "totalBenes": 74964, "procCount": 8, "flags": [], "flagCount": 0}, {"npi": "1932103413", "name": "Mount Sinai Hospital", "specialty": "Ambulance", "city": "New York", "state": "NY", "totalPaid": 278959195.29, "totalClaims": 5011660, "totalBenes": 4010555, "procCount": 933, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1174689665", "name": "Beth Israel Medical Center", "specialty": "Psychiatric Unit", "city": "Brooklyn", "state": "NY", "totalPaid": 278662434.15, "totalClaims": 4403111, "totalBenes": 2726560, "procCount": 757, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1194706655", "name": "Yuma Regional Medical Center", "specialty": "General Acute Care Hospital", "city": "Yuma", "state": "AZ", "totalPaid": 278420282.62, "totalClaims": 6876263, "totalBenes": 5650848, "procCount": 970, "flags": [], "flagCount": 0}, {"npi": "1477643690", "name": "Texas Children's Hospital", "specialty": "General Acute Care Hospital  Children", "city": "Houston", "state": "TX", "totalPaid": 277277789.69, "totalClaims": 1753239, "totalBenes": 1538814, "procCount": 400, "flags": [], "flagCount": 0}, {"npi": "1790721538", "name": "Quest Diagnostics Clinical Laboratories INC", "specialty": "Clinical Medical Laboratory", "city": "Irving", "state": "TX", "totalPaid": 276762744.6, "totalClaims": 26910771, "totalBenes": 24848829, "procCount": 593, "flags": [], "flagCount": 0}, {"npi": "1629407069", "name": "Exact Sciences Laboratories LLC", "specialty": "Clinical Medical Laboratory", "city": "Madison", "state": "WI", "totalPaid": 276545732.09, "totalClaims": 983414, "totalBenes": 926309, "procCount": 40, "flags": [], "flagCount": 0}, {"npi": "1386022101", "name": "Supported Living and Employment Services, Inc.", "specialty": "Community/Behavioral Health", "city": "Springfield", "state": "MO", "totalPaid": 276415290.1, "totalClaims": 770929, "totalBenes": 82771, "procCount": 22, "flags": [], "flagCount": 0}, {"npi": "1659315430", "name": "County of Santa Cruz", "specialty": "Clinic/Center", "city": "Santa Cruz", "state": "CA", "totalPaid": 276252681.48, "totalClaims": 1698884, "totalBenes": 259878, "procCount": 41, "flags": [], "flagCount": 0}, {"npi": "1750781076", "name": "Better Choice Home Care, Inc.", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 275735217.45, "totalClaims": 1994881, "totalBenes": 95682, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1508089699", "name": "Department of Developmental Services", "specialty": "Case Management", "city": "Pittsfield", "state": "MA", "totalPaid": 275000143.3, "totalClaims": 341103, "totalBenes": 96172, "procCount": 8, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1174661078", "name": "Ability360, Inc,", "specialty": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Phoenix", "state": "AZ", "totalPaid": 274715743.79, "totalClaims": 1797757, "totalBenes": 143415, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1538668165", "name": "Hamaspik Care, Inc.", "specialty": "Home Health", "city": "Spring Valley", "state": "NY", "totalPaid": 274420610.68, "totalClaims": 1789951, "totalBenes": 92082, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1528105558", "name": "County of Tulare", "specialty": "Clinic/Center  Public Health  State or Local", "city": "Visalia", "state": "CA", "totalPaid": 273741644.28, "totalClaims": 2865391, "totalBenes": 819832, "procCount": 119, "flags": [], "flagCount": 0}, {"npi": "1477807667", "name": "Byram Healthcare Centers, Inc.", "specialty": "Durable Medical Equipment & Medical Supplies", "city": "Torrance", "state": "CA", "totalPaid": 271781215.8, "totalClaims": 3888341, "totalBenes": 3712872, "procCount": 205, "flags": [], "flagCount": 0}, {"npi": "1184259913", "name": "State of Missouri", "specialty": "Counselor, Addiction (Substance Use Disorder)", "city": "Jefferson City", "state": "MO", "totalPaid": 271594336.32, "totalClaims": 3547699, "totalBenes": 1036164, "procCount": 32, "flags": [], "flagCount": 0}, {"npi": "1548202641", "name": "Beth Israel Deaconess Medical Center, Inc.", "specialty": "General Acute Care Hospital", "city": "Boston", "state": "MA", "totalPaid": 270281399.95, "totalClaims": 7802371, "totalBenes": 6838073, "procCount": 847, "flags": [], "flagCount": 0}, {"npi": "1154480069", "name": "Dap Health, Inc.", "specialty": "Family Medicine", "city": "El Cajon", "state": "CA", "totalPaid": 270209401.04, "totalClaims": 1582590, "totalBenes": 1115574, "procCount": 170, "flags": [], "flagCount": 0}, {"npi": "1396048070", "name": "Mbi Health Services LLC", "specialty": "Case Management", "city": "Washington", "state": "DC", "totalPaid": 270125586.31, "totalClaims": 2758693, "totalBenes": 443637, "procCount": 57, "flags": [], "flagCount": 0}, {"npi": "1447575204", "name": "Cooperative Home Care Associates, INC", "specialty": "Home Health", "city": "Bronx", "state": "NY", "totalPaid": 269903559.57, "totalClaims": 1412490, "totalBenes": 64971, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1003847807", "name": "Bayada Home Health Care Inc.", "specialty": "Home Health", "city": "Toms River", "state": "NJ", "totalPaid": 269654252.43, "totalClaims": 637252, "totalBenes": 42023, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1124186747", "name": "Recco Home Care Service, Inc.", "specialty": "Home Health", "city": "Massapequa", "state": "NY", "totalPaid": 267122655.54, "totalClaims": 1524896, "totalBenes": 65746, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1871713495", "name": "Saint Francis Hospital and Medical Center", "specialty": "General Acute Care Hospital", "city": "Hartford", "state": "CT", "totalPaid": 266391325.03, "totalClaims": 7411868, "totalBenes": 5770297, "procCount": 727, "flags": [], "flagCount": 0}, {"npi": "1740262880", "name": "Laboratory Corporation of America", "specialty": "Clinical Medical Laboratory", "city": "Phoenix", "state": "AZ", "totalPaid": 265904923.85, "totalClaims": 31036545, "totalBenes": 28916975, "procCount": 598, "flags": [], "flagCount": 0}, {"npi": "1962564328", "name": "Community Bridges", "specialty": "Case Management", "city": "Concord", "state": "NH", "totalPaid": 265469406.61, "totalClaims": 970369, "totalBenes": 121695, "procCount": 14, "flags": [], "flagCount": 0}, {"npi": "1184722779", "name": "Regents of the University of California", "specialty": "General Acute Care Hospital", "city": "San Diego", "state": "CA", "totalPaid": 264994583.83, "totalClaims": 4174520, "totalBenes": 3377993, "procCount": 890, "flags": [], "flagCount": 0}, {"npi": "1871543215", "name": "Stanford Health Care", "specialty": "General Acute Care Hospital", "city": "Stanford", "state": "CA", "totalPaid": 264820794.14, "totalClaims": 3937825, "totalBenes": 3080491, "procCount": 782, "flags": [], "flagCount": 0}, {"npi": "1386751162", "name": "Accentcare of New York, Inc.", "specialty": "Home Health", "city": "Yonkers", "state": "NY", "totalPaid": 264796677.91, "totalClaims": 1475218, "totalBenes": 71100, "procCount": 9, "flags": [], "flagCount": 0}, {"npi": "1902809940", "name": "Laboratory Corporation of America Holdings", "specialty": "Clinical Medical Laboratory", "city": "Burlington", "state": "NC", "totalPaid": 264262233.27, "totalClaims": 15254290, "totalBenes": 14217718, "procCount": 547, "flags": [], "flagCount": 0}, {"npi": "1700901725", "name": "New England Emergency Response Systems INC", "specialty": "Emergency Response System Companies", "city": "Southfield", "state": "MI", "totalPaid": 264102389.61, "totalClaims": 12462007, "totalBenes": 804483, "procCount": 38, "flags": ["beneficiary_stuffing|spending_spike", "explosive_growth"], "flagCount": 2}, {"npi": "1447510326", "name": "Good Care Agency INC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 264007636.47, "totalClaims": 1562448, "totalBenes": 69135, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1720049190", "name": "Rise INC", "specialty": "Voluntary or Charitable", "city": "Boise", "state": "ID", "totalPaid": 263808587.71, "totalClaims": 2097171, "totalBenes": 146096, "procCount": 31, "flags": [], "flagCount": 0}, {"npi": "1194743013", "name": "Children's Health System of Texas", "specialty": "General Acute Care Hospital  Children", "city": "Dallas", "state": "TX", "totalPaid": 263765032.9, "totalClaims": 1364671, "totalBenes": 1265095, "procCount": 387, "flags": ["unusual_cost_per_claim|spending_spike", "explosive_growth"], "flagCount": 2}, {"npi": "1295827780", "name": "Degc Enterprises (u.s.), Inc.", "specialty": "Durable Medical Equipment & Medical Supplies", "city": "Clearwater", "state": "FL", "totalPaid": 262561068.16, "totalClaims": 1688554, "totalBenes": 1538179, "procCount": 105, "flags": [], "flagCount": 0}, {"npi": "1972954923", "name": "Personal Assistance Services of Colorado LLC", "specialty": "In Home Supportive Care", "city": "Lakewood", "state": "CO", "totalPaid": 262441757.19, "totalClaims": 2492970, "totalBenes": 82877, "procCount": 11, "flags": [], "flagCount": 0}, {"npi": "1750482022", "name": "Children's Hospital of Wisconsin, Inc.", "specialty": "Dentist, Pediatric Dentistry", "city": "Milwaukee", "state": "WI", "totalPaid": 262198153.46, "totalClaims": 4551447, "totalBenes": 3778857, "procCount": 781, "flags": [], "flagCount": 0}, {"npi": "1972047181", "name": "Care Finders LLC", "specialty": "Home Health", "city": "New York", "state": "NY", "totalPaid": 262161188.75, "totalClaims": 1808240, "totalBenes": 81066, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1467523746", "name": "In-home Attendant Services Ltd.", "specialty": "Technician  Personal Care Attendant", "city": "Houston", "state": "TX", "totalPaid": 261239884.38, "totalClaims": 3958415, "totalBenes": 258046, "procCount": 19, "flags": [], "flagCount": 0}, {"npi": "1093777492", "name": "Maimonides Medical Center", "specialty": "General Acute Care Hospital", "city": "Brooklyn", "state": "NY", "totalPaid": 260808086.0, "totalClaims": 3389055, "totalBenes": 2959894, "procCount": 767, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1326502865", "name": "We Care Daily Clinics LLC", "specialty": "Clinic/Center  Methadone Clinic", "city": "Auburn", "state": "WA", "totalPaid": 260593398.11, "totalClaims": 1068705, "totalBenes": 154237, "procCount": 26, "flags": ["unusual_cost_per_claim|beneficiary_stuffing", "explosive_growth"], "flagCount": 2}, {"npi": "1801270137", "name": "Sac Health System", "specialty": "Clinic/Center, Community Health", "city": "San Bernardino", "state": "CA", "totalPaid": 260215578.53, "totalClaims": 3253616, "totalBenes": 2424639, "procCount": 170, "flags": [], "flagCount": 0}, {"npi": "1316158983", "name": "A.w. Holdings LLC", "specialty": "Psychologist  Intellectual & Developmental Disabilities", "city": "Fort Wayne", "state": "IN", "totalPaid": 260208797.53, "totalClaims": 961373, "totalBenes": 257501, "procCount": 24, "flags": [], "flagCount": 0}, {"npi": "1063431070", "name": "John F Murphy Homes Inc.", "specialty": "Nursing Facility/Intermediate Care Facility", "city": "Auburn", "state": "ME", "totalPaid": 260024323.14, "totalClaims": 631402, "totalBenes": 70081, "procCount": 19, "flags": [], "flagCount": 0}, {"npi": "1982843124", "name": "All Care Home Health Services LLC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 260006276.1, "totalClaims": 1848151, "totalBenes": 87925, "procCount": 5, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1457788275", "name": "Ideal Option, PLLC", "specialty": "Preventive Medicine, Addiction Medicine", "city": "Pasco", "state": "WA", "totalPaid": 259128731.69, "totalClaims": 3887574, "totalBenes": 2651757, "procCount": 72, "flags": [], "flagCount": 0}, {"npi": "1528064409", "name": "Virtua - West Jersey Health System Inc.", "specialty": "General Acute Care Hospital", "city": "Voorhees", "state": "NJ", "totalPaid": 255730619.38, "totalClaims": 3372937, "totalBenes": 2687434, "procCount": 480, "flags": [], "flagCount": 0}, {"npi": "1881622892", "name": "Community Mental Health for Central Michigan", "specialty": "Psychiatry & Neurology  Psychiatry", "city": "MT Pleasant", "state": "MI", "totalPaid": 255698082.17, "totalClaims": 935196, "totalBenes": 584045, "procCount": 53, "flags": [], "flagCount": 0}, {"npi": "1912390931", "name": "Amazing Home Care Services, LLC", "specialty": "Home Health", "city": "Bronx", "state": "NY", "totalPaid": 255223068.46, "totalClaims": 1853690, "totalBenes": 92963, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1912914821", "name": "Seventh-day Adventists Loma Linda University Medical Center", "specialty": "General Acute Care Hospital", "city": "Loma Linda", "state": "CA", "totalPaid": 253656709.06, "totalClaims": 3899170, "totalBenes": 2700382, "procCount": 682, "flags": ["unusual_cost_per_claim|beneficiary_stuffing"], "flagCount": 1}, {"npi": "1366580706", "name": "Chartwell Community Services Inc.", "specialty": "Home Health", "city": "Arlington", "state": "TX", "totalPaid": 253416240.26, "totalClaims": 4491410, "totalBenes": 184298, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1790717650", "name": "Brigham & Womens Hospital Inc.", "specialty": "General Acute Care Hospital", "city": "Boston", "state": "MA", "totalPaid": 252584159.89, "totalClaims": 6310608, "totalBenes": 5467192, "procCount": 943, "flags": [], "flagCount": 0}, {"npi": "1174793996", "name": "X-treme Care, LLC", "specialty": "Home Health", "city": "Bay Side", "state": "NY", "totalPaid": 252474520.66, "totalClaims": 1709436, "totalBenes": 106539, "procCount": 9, "flags": [], "flagCount": 0}, {"npi": "1073576740", "name": "Maricopa County Special Health Care District", "specialty": "General Acute Care Hospital", "city": "Phoenix", "state": "AZ", "totalPaid": 251457852.8, "totalClaims": 4606950, "totalBenes": 3975987, "procCount": 723, "flags": [], "flagCount": 0}, {"npi": "1790908002", "name": "Department of Developmental Services", "specialty": "Case Management", "city": "Holyoke", "state": "MA", "totalPaid": 249649772.08, "totalClaims": 407762, "totalBenes": 96501, "procCount": 11, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1912903717", "name": "Dominion Diagnostics, LLC", "specialty": "Clinical Medical Laboratory", "city": "North Kingstown", "state": "RI", "totalPaid": 249150215.49, "totalClaims": 5526819, "totalBenes": 2639564, "procCount": 122, "flags": [], "flagCount": 0}, {"npi": "1134271661", "name": "Connecticut Children's Medical Center", "specialty": "General Acute Care Hospital, Children", "city": "Hartford", "state": "CT", "totalPaid": 248942412.29, "totalClaims": 2468547, "totalBenes": 1790970, "procCount": 466, "flags": [], "flagCount": 0}, {"npi": "1417486531", "name": "A Physicians Home Care", "specialty": "In Home Supportive Care", "city": "Colorado Springs", "state": "CO", "totalPaid": 247924558.33, "totalClaims": 989004, "totalBenes": 37074, "procCount": 3, "flags": ["unusual_cost_per_claim|beneficiary_stuffing"], "flagCount": 1}, {"npi": "1366780850", "name": "Community Care Management Partners LLC (ccmp)", "specialty": "Case Management", "city": "New York", "state": "NY", "totalPaid": 247198154.94, "totalClaims": 823730, "totalBenes": 823207, "procCount": 6, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1528126133", "name": "Adelante Healthcare, Inc.", "specialty": "Family Medicine", "city": "Phoenix", "state": "AZ", "totalPaid": 245882154.82, "totalClaims": 2277275, "totalBenes": 1824157, "procCount": 174, "flags": [], "flagCount": 0}, {"npi": "1336238237", "name": "Meridian Services", "specialty": "Community/Behavioral Health", "city": "Muncie", "state": "IN", "totalPaid": 245212710.88, "totalClaims": 2071229, "totalBenes": 626800, "procCount": 10, "flags": [], "flagCount": 0}, {"npi": "1154788412", "name": "Eagle Eye Fv, INC", "specialty": "Early Intervention Provider Agency", "city": "Brooklyn", "state": "NY", "totalPaid": 244854988.11, "totalClaims": 1761461, "totalBenes": 84559, "procCount": 3, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1740339381", "name": "Systems Unlimited Inc.", "specialty": "Day Training  Developmentally Disabled Services", "city": "Iowa City", "state": "IA", "totalPaid": 244753415.93, "totalClaims": 161403, "totalBenes": 44645, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1245765163", "name": "Hhsc Wic Program", "specialty": "Pharmacy", "city": "Austin", "state": "TX", "totalPaid": 244570607.52, "totalClaims": 1678850, "totalBenes": 1007467, "procCount": 8, "flags": [], "flagCount": 0}, {"npi": "1689652166", "name": "Legacy Home Health Agency, Inc.", "specialty": "Home Health", "city": "Corpus Christi", "state": "TX", "totalPaid": 244212833.77, "totalClaims": 4320163, "totalBenes": 180043, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1922090554", "name": "Spectrum Health Hospitals", "specialty": "General Acute Care Hospital", "city": "Grand Rapids", "state": "MI", "totalPaid": 243224155.98, "totalClaims": 7025479, "totalBenes": 6139418, "procCount": 1025, "flags": [], "flagCount": 0}, {"npi": "1437534559", "name": "Daybreak Community Services Texas LLC", "specialty": "Community Based Residential Treatment Facility  Intellectual and/or Developmental Disabilities", "city": "Fort Worth", "state": "TX", "totalPaid": 243167425.76, "totalClaims": 2301430, "totalBenes": 208832, "procCount": 42, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1760491674", "name": "Mountain Comprehensive Care Center, Inc.", "specialty": "Counselor, Mental Health", "city": "Prestonsburg", "state": "KY", "totalPaid": 243114592.18, "totalClaims": 2626038, "totalBenes": 1350887, "procCount": 41, "flags": [], "flagCount": 0}, {"npi": "1912939703", "name": "Children's Hospital", "specialty": "General Acute Care Hospital  Children", "city": "Washington", "state": "DC", "totalPaid": 242963810.95, "totalClaims": 2196636, "totalBenes": 1923577, "procCount": 566, "flags": [], "flagCount": 0}, {"npi": "1659435840", "name": "Medical University Hospital Authority", "specialty": "General Acute Care Hospital", "city": "Charleston", "state": "SC", "totalPaid": 241430552.67, "totalClaims": 5858419, "totalBenes": 4843043, "procCount": 1019, "flags": [], "flagCount": 0}, {"npi": "1649472853", "name": "I & Y Senior Care, Inc.", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 241261306.71, "totalClaims": 1590061, "totalBenes": 66046, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1962083493", "name": "Rem Missouri LLC", "specialty": "Clinic/Center  Developmental Disabilities", "city": "Saint Louis", "state": "MO", "totalPaid": 240850154.69, "totalClaims": 583225, "totalBenes": 45037, "procCount": 15, "flags": ["instant_high_volume", "explosive_growth"], "flagCount": 2}, {"npi": "1104802354", "name": "Presbyterian Healthcare Services", "specialty": "Surgery", "city": "Albuquerque", "state": "NM", "totalPaid": 240239258.79, "totalClaims": 3995600, "totalBenes": 3734917, "procCount": 542, "flags": [], "flagCount": 0}, {"npi": "1851333686", "name": "Dana-farber Cancer Institute, Inc.", "specialty": "General Acute Care Hospital", "city": "Boston", "state": "MA", "totalPaid": 240209148.81, "totalClaims": 2372309, "totalBenes": 1591423, "procCount": 357, "flags": [], "flagCount": 0}, {"npi": "1548378235", "name": "Medstar Washington Hospital Center", "specialty": "General Acute Care Hospital", "city": "Washington", "state": "DC", "totalPaid": 239081014.11, "totalClaims": 2832952, "totalBenes": 2304615, "procCount": 640, "flags": [], "flagCount": 0}, {"npi": "1750053948", "name": "Srh Chn Lead Health Home LLC", "specialty": "Case Management", "city": "Peekskill", "state": "NY", "totalPaid": 238967730.89, "totalClaims": 755970, "totalBenes": 755546, "procCount": 3, "flags": ["instant_high_volume"], "flagCount": 1}, {"npi": "1801992631", "name": "Nyu Langone Hospitals", "specialty": "Clinic/Center, Oncology", "city": "New York", "state": "NY", "totalPaid": 238686702.33, "totalClaims": 4685853, "totalBenes": 4181960, "procCount": 848, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1477582609", "name": "Behavioral Health Network INC", "specialty": "Clinic/Center  Mental Health (Including Community Mental Health Center)", "city": "Springfield", "state": "MA", "totalPaid": 238591774.2, "totalClaims": 2402081, "totalBenes": 832060, "procCount": 76, "flags": [], "flagCount": 0}, {"npi": "1033162987", "name": "Consumer Directed Choices, Inc.", "specialty": "Technician, Attendant Care Provider", "city": "Albany", "state": "NY", "totalPaid": 238168727.17, "totalClaims": 1402242, "totalBenes": 65384, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1679606735", "name": "Bhrags Home Care Corp.", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 237170877.44, "totalClaims": 1254562, "totalBenes": 57753, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1588804405", "name": "Alternate Staffing, Inc.", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 237061792.87, "totalClaims": 1270189, "totalBenes": 55271, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1013374222", "name": "Lsu Health Sciences Center Shreveport Faculty Group Practice", "specialty": "Oral & Maxillofacial Surgery", "city": "Shreveport", "state": "LA", "totalPaid": 235663391.03, "totalClaims": 5974394, "totalBenes": 4909341, "procCount": 577, "flags": [], "flagCount": 0}, {"npi": "1649678350", "name": "Allstar Homecare Agency, INC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 234484853.36, "totalClaims": 1733722, "totalBenes": 84915, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1194144873", "name": "County of Milwaukee", "specialty": "Community/Behavioral Health", "city": "Milwaukee", "state": "WI", "totalPaid": 234141685.79, "totalClaims": 2600523, "totalBenes": 251942, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1467595793", "name": "Truman Medical Center, Incorporated", "specialty": "General Acute Care Hospital", "city": "Kansas City", "state": "MO", "totalPaid": 233932013.26, "totalClaims": 1866781, "totalBenes": 1614492, "procCount": 346, "flags": [], "flagCount": 0}, {"npi": "1811997638", "name": "Medline Industries, LP", "specialty": "Durable Medical Equipment & Medical Supplies", "city": "Grayslake", "state": "IL", "totalPaid": 233148643.47, "totalClaims": 6891057, "totalBenes": 6079624, "procCount": 255, "flags": [], "flagCount": 0}, {"npi": "1134455942", "name": "Greatcare INC", "specialty": "Home Health", "city": "New York", "state": "NY", "totalPaid": 231763646.77, "totalClaims": 1631816, "totalBenes": 67672, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1568407310", "name": "The Health and Hospital Corporation of Marion County", "specialty": "Psychiatric Unit", "city": "Indianapolis", "state": "IN", "totalPaid": 231531116.04, "totalClaims": 3452765, "totalBenes": 2681021, "procCount": 353, "flags": [], "flagCount": 0}, {"npi": "1720166259", "name": "Divine House, Inc.", "specialty": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Willmar", "state": "MN", "totalPaid": 230928305.37, "totalClaims": 857662, "totalBenes": 39422, "procCount": 13, "flags": [], "flagCount": 0}, {"npi": "1184827990", "name": "Instant Care of Arizona", "specialty": "Home Health", "city": "Phoenix", "state": "AZ", "totalPaid": 229900465.59, "totalClaims": 1817607, "totalBenes": 96552, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1912976408", "name": "Planned Parenthood/orange and San Bernardino Counties, Inc.", "specialty": "Clinic/Center, Ambulatory Family Planning Facility", "city": "Orange", "state": "CA", "totalPaid": 229107211.02, "totalClaims": 4607327, "totalBenes": 4225763, "procCount": 104, "flags": [], "flagCount": 0}, {"npi": "1760618961", "name": "Stuart T.wilson C.p.a.,p.c.", "specialty": "Supports Brokerage", "city": "Midland", "state": "MI", "totalPaid": 228545944.86, "totalClaims": 2620164, "totalBenes": 274760, "procCount": 11, "flags": [], "flagCount": 0}, {"npi": "1043382302", "name": "Procare Pharmacy Direct, Llc.", "specialty": "Pharmacy, Community/Retail Pharmacy", "city": "Monroeville", "state": "PA", "totalPaid": 227313342.2, "totalClaims": 82891, "totalBenes": 66880, "procCount": 60, "flags": [], "flagCount": 0}, {"npi": "1659601979", "name": "Northeast Pennsylvania Center for Independent Living", "specialty": "Supports Brokerage", "city": "Scranton", "state": "PA", "totalPaid": 227192118.98, "totalClaims": 3226844, "totalBenes": 180891, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1164487542", "name": "Inspira Medical Centers Inc.", "specialty": "General Acute Care Hospital", "city": "Vineland", "state": "NJ", "totalPaid": 227071353.69, "totalClaims": 3252356, "totalBenes": 2663056, "procCount": 502, "flags": [], "flagCount": 0}, {"npi": "1255360517", "name": "Rochester General Hospital", "specialty": "Dentist, General Practice", "city": "Rochester", "state": "NY", "totalPaid": 226974802.17, "totalClaims": 3230816, "totalBenes": 2838851, "procCount": 702, "flags": [], "flagCount": 0}, {"npi": "1528041811", "name": "Grossmont Hospital Corporation", "specialty": "General Acute Care Hospital", "city": "La Mesa", "state": "CA", "totalPaid": 226695571.54, "totalClaims": 2443214, "totalBenes": 2123152, "procCount": 449, "flags": [], "flagCount": 0}, {"npi": "1285758300", "name": "Commonwealth of Massachusetts-dds", "specialty": "Case Management", "city": "New Bedford", "state": "MA", "totalPaid": 226031966.03, "totalClaims": 376713, "totalBenes": 77956, "procCount": 9, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1053772905", "name": "Sierra Regional Center", "specialty": "Respite Care", "city": "Sparks", "state": "NV", "totalPaid": 225241766.72, "totalClaims": 487946, "totalBenes": 85282, "procCount": 11, "flags": [], "flagCount": 0}, {"npi": "1699896316", "name": "Rem Community Options Inc.", "specialty": "Community/Behavioral Health", "city": "Benwood", "state": "WV", "totalPaid": 224864469.64, "totalClaims": 213280, "totalBenes": 162426, "procCount": 13, "flags": [], "flagCount": 0}, {"npi": "1043279011", "name": "Preferred Home Health Care & Nursing Services Inc.", "specialty": "Home Health", "city": "Mount Laurel", "state": "NJ", "totalPaid": 224601483.9, "totalClaims": 576921, "totalBenes": 38181, "procCount": 13, "flags": [], "flagCount": 0}, {"npi": "1265529168", "name": "State of Oklahoma Dept of Human Services", "specialty": "Case Management", "city": "Oklahoma City", "state": "OK", "totalPaid": 224454102.0, "totalClaims": 493379, "totalBenes": 454552, "procCount": 1, "flags": ["unusual_cost_per_claim|spending_spike", "procedure_concentration"], "flagCount": 2}, {"npi": "1447546007", "name": "The Fogarty Center", "specialty": "Day Training, Developmentally Disabled Services", "city": "Barrington", "state": "RI", "totalPaid": 224307101.57, "totalClaims": 789158, "totalBenes": 149680, "procCount": 8, "flags": [], "flagCount": 0}, {"npi": "1023175072", "name": "Habit Opco, LLC", "specialty": "Case Management", "city": "Springfield", "state": "MA", "totalPaid": 224149166.57, "totalClaims": 9635556, "totalBenes": 845172, "procCount": 28, "flags": [], "flagCount": 0}, {"npi": "1578683694", "name": "Mystic Valley Elder Services Inc.", "specialty": "Case Management", "city": "Malden", "state": "MA", "totalPaid": 222949564.42, "totalClaims": 999397, "totalBenes": 220187, "procCount": 24, "flags": [], "flagCount": 0}, {"npi": "1851346720", "name": "Ashland Hospital Corporation", "specialty": "Clinic/Center, Rural Health", "city": "Ashland", "state": "KY", "totalPaid": 222763654.83, "totalClaims": 6507603, "totalBenes": 4992972, "procCount": 794, "flags": [], "flagCount": 0}, {"npi": "1558416701", "name": "Egleston Children's Hospital at Emory University Inc.", "specialty": "Pediatrics  Pediatric Emergency Medicine", "city": "Atlanta", "state": "GA", "totalPaid": 222593125.35, "totalClaims": 1940630, "totalBenes": 1647088, "procCount": 584, "flags": [], "flagCount": 0}, {"npi": "1366419517", "name": "Antelope Valley Health Care District", "specialty": "General Acute Care Hospital", "city": "Lancaster", "state": "CA", "totalPaid": 222293141.83, "totalClaims": 2405107, "totalBenes": 2150114, "procCount": 341, "flags": [], "flagCount": 0}, {"npi": "1366515488", "name": "The Children's Mercy Hospital", "specialty": "General Acute Care Hospital  Children", "city": "Kansas City", "state": "MO", "totalPaid": 221155052.55, "totalClaims": 1044499, "totalBenes": 997509, "procCount": 264, "flags": ["unusual_cost_per_claim|spending_spike"], "flagCount": 1}, {"npi": "1588656870", "name": "University of Utah", "specialty": "Clinic/Center, Dental", "city": "Salt Lake City", "state": "UT", "totalPaid": 221143872.98, "totalClaims": 4831388, "totalBenes": 3817787, "procCount": 891, "flags": [], "flagCount": 0}, {"npi": "1053477075", "name": "The Hospital of Central Connecticut at New Britain General and Bradley", "specialty": "General Acute Care Hospital", "city": "New Britain", "state": "CT", "totalPaid": 220100848.46, "totalClaims": 4101984, "totalBenes": 2834212, "procCount": 608, "flags": [], "flagCount": 0}, {"npi": "1891770806", "name": "Laboratory Corporation of America Holdings", "specialty": "Clinical Medical Laboratory", "city": "Charleston", "state": "WV", "totalPaid": 220037247.59, "totalClaims": 8750297, "totalBenes": 7708864, "procCount": 203, "flags": [], "flagCount": 0}, {"npi": "1417954165", "name": "Activstyle, LLC", "specialty": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition", "city": "Saint Paul", "state": "MN", "totalPaid": 219628282.77, "totalClaims": 3859353, "totalBenes": 3714797, "procCount": 69, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1235188673", "name": "Spectrum Health Primary Care Partners", "specialty": "Psychologist, Clinical Child & Adolescent", "city": "Grand Rapids", "state": "MI", "totalPaid": 219576484.92, "totalClaims": 4161479, "totalBenes": 3537961, "procCount": 692, "flags": [], "flagCount": 0}, {"npi": "1467536276", "name": "Seattle Children's Hospital", "specialty": "Prosthetic/Orthotic Supplier", "city": "Seattle", "state": "WA", "totalPaid": 219534926.72, "totalClaims": 3584766, "totalBenes": 3102746, "procCount": 758, "flags": [], "flagCount": 0}, {"npi": "1962728584", "name": "Avondale Care Group LLC", "specialty": "Home Health", "city": "New York", "state": "NY", "totalPaid": 219390745.11, "totalClaims": 1173036, "totalBenes": 62383, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1578665048", "name": "Optum Medical Care of New Jersey PC", "specialty": "Durable Medical Equipment & Medical Supplies", "city": "Secaucus", "state": "NJ", "totalPaid": 218818427.28, "totalClaims": 4314959, "totalBenes": 3884408, "procCount": 448, "flags": [], "flagCount": 0}, {"npi": "1225546575", "name": "Family Healthcare Network", "specialty": "Clinic/Center  Federally Qualified Health Center (FQHC)", "city": "Fresno", "state": "CA", "totalPaid": 218299625.67, "totalClaims": 2274796, "totalBenes": 1628386, "procCount": 141, "flags": [], "flagCount": 0}, {"npi": "1003930256", "name": "Commonwealth of Massachusetts-dds", "specialty": "Case Management", "city": "Fall River", "state": "MA", "totalPaid": 218126934.6, "totalClaims": 215609, "totalBenes": 67963, "procCount": 9, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1265819106", "name": "Rem New Jersey, Inc.", "specialty": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Somerset", "state": "NJ", "totalPaid": 217946860.06, "totalClaims": 615141, "totalBenes": 25555, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1679587679", "name": "New York City Health and Hospitals Corporation", "specialty": "Internal Medicine", "city": "Bronx", "state": "NY", "totalPaid": 217677572.21, "totalClaims": 4737613, "totalBenes": 4261857, "procCount": 765, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1295752384", "name": "Northern Valley Indian Health INC", "specialty": "Clinic/Center", "city": "Willows", "state": "CA", "totalPaid": 217070731.11, "totalClaims": 850292, "totalBenes": 686881, "procCount": 148, "flags": [], "flagCount": 0}, {"npi": "1902341050", "name": "Nemo Home Care", "specialty": "Case Management", "city": "Brooklyn", "state": "NY", "totalPaid": 217060278.36, "totalClaims": 1583583, "totalBenes": 79655, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1033289533", "name": "Quality Healthcare, Inc.", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 216984969.02, "totalClaims": 1154699, "totalBenes": 58036, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1396756938", "name": "County of Los Angeles", "specialty": "General Acute Care Hospital", "city": "Los Angeles", "state": "CA", "totalPaid": 216551322.62, "totalClaims": 214461, "totalBenes": 169178, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1518373703", "name": "Pro Care Unlimited, INC", "specialty": "Home Health", "city": "Southfield", "state": "MI", "totalPaid": 216341203.5, "totalClaims": 1728890, "totalBenes": 119061, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1689682932", "name": "Texas Home Health of America L.p.", "specialty": "Home Health", "city": "Dallas", "state": "TX", "totalPaid": 216291929.58, "totalClaims": 4012447, "totalBenes": 170564, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1487632998", "name": "Genedx LLC", "specialty": "Medical Genetics, Ph.D. Medical Genetics", "city": "Gaithersburg", "state": "MD", "totalPaid": 215335418.76, "totalClaims": 445618, "totalBenes": 386212, "procCount": 71, "flags": [], "flagCount": 0}, {"npi": "1255377149", "name": "Ohiohealth Corporation", "specialty": "General Acute Care Hospital", "city": "Columbus", "state": "OH", "totalPaid": 214992042.21, "totalClaims": 4231106, "totalBenes": 3425769, "procCount": 511, "flags": [], "flagCount": 0}, {"npi": "1013919315", "name": "Atlanticare Regional Medical Center", "specialty": "General Acute Care Hospital", "city": "Pomona", "state": "NJ", "totalPaid": 214909154.95, "totalClaims": 2683355, "totalBenes": 2115116, "procCount": 449, "flags": [], "flagCount": 0}, {"npi": "1790082410", "name": "New Millenium Ny, INC", "specialty": "Home Health", "city": "Forest Hills", "state": "NY", "totalPaid": 214867089.28, "totalClaims": 1477913, "totalBenes": 66054, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1770538068", "name": "Cns Healthcare", "specialty": "Psychiatry & Neurology  Psychiatry", "city": "Novi", "state": "MI", "totalPaid": 214273045.96, "totalClaims": 1218556, "totalBenes": 726271, "procCount": 40, "flags": [], "flagCount": 0}, {"npi": "1962585638", "name": "Unlimited Care, Inc.", "specialty": "Home Health", "city": "White Plains", "state": "NY", "totalPaid": 214084111.18, "totalClaims": 1217706, "totalBenes": 58021, "procCount": 9, "flags": [], "flagCount": 0}, {"npi": "1730466590", "name": "Precision Toxicology, LLC", "specialty": "Clinical Medical Laboratory", "city": "San Diego", "state": "CA", "totalPaid": 213774817.05, "totalClaims": 5645867, "totalBenes": 3530779, "procCount": 48, "flags": [], "flagCount": 0}, {"npi": "1376085100", "name": "Rediscover", "specialty": "Community/Behavioral Health", "city": "Lees Summit", "state": "MO", "totalPaid": 213711242.45, "totalClaims": 1971534, "totalBenes": 537243, "procCount": 34, "flags": [], "flagCount": 0}, {"npi": "1942694948", "name": "Elite Hhc LLC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 213687703.36, "totalClaims": 1191466, "totalBenes": 64704, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1992805022", "name": "Government of the District of Columbia Office of Tax and Revenue", "specialty": "Ambulance  Land Transport", "city": "Washington", "state": "DC", "totalPaid": 213401878.96, "totalClaims": 643891, "totalBenes": 519767, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1366430563", "name": "New Horizon Counseling Center INC", "specialty": "Clinic/Center  Mental Health (Including Community Mental Health Center)", "city": "South Ozone Park", "state": "NY", "totalPaid": 213090354.52, "totalClaims": 2346867, "totalBenes": 664566, "procCount": 27, "flags": [], "flagCount": 0}, {"npi": "1497870943", "name": "Commonwealth of Massachusetts", "specialty": "Community/Behavioral Health", "city": "Tewksbury", "state": "MA", "totalPaid": 212829451.97, "totalClaims": 676686, "totalBenes": 136948, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1609812445", "name": "Labone LLC", "specialty": "Clinical Medical Laboratory", "city": "Lenexa", "state": "KS", "totalPaid": 212275717.33, "totalClaims": 15295177, "totalBenes": 14418740, "procCount": 473, "flags": [], "flagCount": 0}, {"npi": "1043488034", "name": "Southern Home Care Services Inc.", "specialty": "Home Health", "city": "Valdosta", "state": "GA", "totalPaid": 212175915.83, "totalClaims": 3024851, "totalBenes": 149119, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1215028931", "name": "San Joaquin Behavioral Health Services", "specialty": "Counselor, Addiction (Substance Use Disorder)", "city": "Stockton", "state": "CA", "totalPaid": 211489378.63, "totalClaims": 3632423, "totalBenes": 370940, "procCount": 47, "flags": [], "flagCount": 0}, {"npi": "1932166386", "name": "Quest Diagnostics Clinical Laboratories INC", "specialty": "Clinical Medical Laboratory", "city": "Tucker", "state": "GA", "totalPaid": 211134089.71, "totalClaims": 19587798, "totalBenes": 17449588, "procCount": 572, "flags": [], "flagCount": 0}, {"npi": "1255365599", "name": "Mount Rogers Community Services", "specialty": "Clinic/Center  Mental Health (Including Community Mental Health Center)", "city": "Wytheville", "state": "VA", "totalPaid": 210426117.13, "totalClaims": 1050852, "totalBenes": 445814, "procCount": 55, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1952347791", "name": "Quest Diagnostics LLC", "specialty": "Clinical Medical Laboratory", "city": "Marlborough", "state": "MA", "totalPaid": 209742563.95, "totalClaims": 45938450, "totalBenes": 41319964, "procCount": 421, "flags": [], "flagCount": 0}, {"npi": "1780621904", "name": "Park Nicollet Clinic", "specialty": "Obstetrics & Gynecology", "city": "St Louis Park", "state": "MN", "totalPaid": 209657270.32, "totalClaims": 6015921, "totalBenes": 5285039, "procCount": 591, "flags": [], "flagCount": 0}, {"npi": "1386746592", "name": "Kennedy University Hospital Inc.", "specialty": "General Acute Care Hospital", "city": "Stratford", "state": "NJ", "totalPaid": 209406546.67, "totalClaims": 3869212, "totalBenes": 2908054, "procCount": 520, "flags": [], "flagCount": 0}, {"npi": "1356379382", "name": "Southeastern Emergency Physicians LLC", "specialty": "Emergency Medicine, Pediatric Emergency Medicine", "city": "Maysville", "state": "KY", "totalPaid": 208943380.31, "totalClaims": 4194505, "totalBenes": 3685097, "procCount": 22, "flags": [], "flagCount": 0}, {"npi": "1588855100", "name": "Team Mental Health Services Inc.", "specialty": "Radiology, Diagnostic Radiology", "city": "Detroit", "state": "MI", "totalPaid": 208392820.19, "totalClaims": 1682483, "totalBenes": 1157858, "procCount": 68, "flags": [], "flagCount": 0}, {"npi": "1568910677", "name": "Tradition Choice", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 208345252.26, "totalClaims": 1456200, "totalBenes": 62443, "procCount": 4, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1760897755", "name": "Physicians Group Laboratories, LLC", "specialty": "Clinical Medical Laboratory", "city": "Houma", "state": "LA", "totalPaid": 208133530.84, "totalClaims": 4619179, "totalBenes": 3755349, "procCount": 84, "flags": [], "flagCount": 0}, {"npi": "1710006051", "name": "Commonwealth of Massachusetts-dmh", "specialty": "Community/Behavioral Health", "city": "Brockton", "state": "MA", "totalPaid": 208022188.21, "totalClaims": 544933, "totalBenes": 98424, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1467589911", "name": "Help at Home, LLC", "specialty": "Home Health", "city": "Merrillville Bra", "state": "IN", "totalPaid": 207858505.69, "totalClaims": 1904928, "totalBenes": 189002, "procCount": 12, "flags": [], "flagCount": 0}, {"npi": "1477628758", "name": "Rem Ramsey, Inc.", "specialty": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "North Saint Paul", "state": "MN", "totalPaid": 207509173.02, "totalClaims": 756075, "totalBenes": 25772, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1952332801", "name": "The New York and Presbyterian Hospital", "specialty": "General Acute Care Hospital", "city": "New York", "state": "NY", "totalPaid": 207366640.09, "totalClaims": 3132313, "totalBenes": 2701587, "procCount": 745, "flags": [], "flagCount": 0}, {"npi": "1033370317", "name": "Starlight Home Care Agency INC", "specialty": "Home Health", "city": "Saddle Brook", "state": "NJ", "totalPaid": 207324061.73, "totalClaims": 492422, "totalBenes": 29689, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1265848675", "name": "Elwyn New Jersey", "specialty": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Vineland", "state": "NJ", "totalPaid": 206621411.68, "totalClaims": 438522, "totalBenes": 25973, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1891832234", "name": "Communicare INC", "specialty": "Community/Behavioral Health", "city": "Elizabethtown", "state": "KY", "totalPaid": 206109230.47, "totalClaims": 1847621, "totalBenes": 213727, "procCount": 10, "flags": ["unusual_cost_per_claim|beneficiary_stuffing"], "flagCount": 1}, {"npi": "1669466561", "name": "State of Connecticut", "specialty": "Counselor, Professional", "city": "Farmington", "state": "CT", "totalPaid": 205921863.75, "totalClaims": 6309714, "totalBenes": 4472443, "procCount": 778, "flags": [], "flagCount": 0}, {"npi": "1366436123", "name": "Our Lady of the Lake Hospital Inc.", "specialty": "General Acute Care Hospital", "city": "Baton Rouge", "state": "LA", "totalPaid": 205685425.0, "totalClaims": 3827381, "totalBenes": 3155878, "procCount": 405, "flags": [], "flagCount": 0}, {"npi": "1063567691", "name": "Yukon-kuskokwim Health Corporation", "specialty": "General Acute Care Hospital  Rural", "city": "Bethel", "state": "AK", "totalPaid": 205264788.43, "totalClaims": 1205315, "totalBenes": 900502, "procCount": 290, "flags": [], "flagCount": 0}, {"npi": "1902999022", "name": "Sate of Alabama Dept of Finance", "specialty": "Public Health or Welfare", "city": "Montgomery", "state": "AL", "totalPaid": 205149604.12, "totalClaims": 2189549, "totalBenes": 544862, "procCount": 17, "flags": [], "flagCount": 0}, {"npi": "1730302829", "name": "Department of Developmental Services", "specialty": "Case Management", "city": "Northampton", "state": "MA", "totalPaid": 204871239.76, "totalClaims": 321786, "totalBenes": 80021, "procCount": 10, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1538292768", "name": "Northeast Kingdom Human Services INC Ds Waiver", "specialty": "Clinic/Center  Developmental Disabilities", "city": "Newport", "state": "VT", "totalPaid": 204755691.87, "totalClaims": 672713, "totalBenes": 73752, "procCount": 18, "flags": [], "flagCount": 0}, {"npi": "1053357905", "name": "Advanced Respiratory, Inc.", "specialty": "Durable Medical Equipment & Medical Supplies", "city": "Saint Paul", "state": "MN", "totalPaid": 204354682.66, "totalClaims": 295430, "totalBenes": 266070, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1710924683", "name": "Group Health Plan, Inc.", "specialty": "Clinic/Center, Multi-Specialty", "city": "Minneapolis", "state": "MN", "totalPaid": 204323294.24, "totalClaims": 6118276, "totalBenes": 5310546, "procCount": 660, "flags": [], "flagCount": 0}, {"npi": "1730369760", "name": "Human Care Services for Families and Children INC", "specialty": "Community Based Residential Treatment Facility  Intellectual and/or Developmental Disabilities", "city": "Brooklyn", "state": "NY", "totalPaid": 203820195.87, "totalClaims": 612067, "totalBenes": 44304, "procCount": 4, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1902863202", "name": "Super Care INC", "specialty": "Durable Medical Equipment & Medical Supplies", "city": "City of Industry", "state": "CA", "totalPaid": 203693060.66, "totalClaims": 2809039, "totalBenes": 2629890, "procCount": 179, "flags": [], "flagCount": 0}, {"npi": "1790994952", "name": "Stella Orton Home Care Agency Inc.", "specialty": "Home Health", "city": "Staten Island", "state": "NY", "totalPaid": 203245562.65, "totalClaims": 783292, "totalBenes": 31873, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1326288556", "name": "Helpers, LLC", "specialty": "Community/Behavioral Health", "city": "Lenexa", "state": "KS", "totalPaid": 202913010.07, "totalClaims": 1929423, "totalBenes": 215253, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1225168933", "name": "The Whole Person, Inc.", "specialty": "Case Management", "city": "Kansas City", "state": "MO", "totalPaid": 202295022.47, "totalClaims": 2752385, "totalBenes": 153184, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1568540763", "name": "Contra Costa County", "specialty": "Clinic/Center  Federally Qualified Health Center (FQHC)", "city": "Pittsburg", "state": "CA", "totalPaid": 202196038.49, "totalClaims": 2525560, "totalBenes": 1917843, "procCount": 280, "flags": [], "flagCount": 0}, {"npi": "1609849074", "name": "La Maestra Family Clinic, Inc.", "specialty": "Clinic/Center, Federally Qualified Health Center (FQHC)", "city": "San Diego", "state": "CA", "totalPaid": 202136402.43, "totalClaims": 3509617, "totalBenes": 2667152, "procCount": 299, "flags": [], "flagCount": 0}, {"npi": "1639138480", "name": "Saltzman Tanis Pittell Levin and Jacobson", "specialty": "Pediatrics", "city": "Hollywood", "state": "FL", "totalPaid": 201288692.2, "totalClaims": 19123619, "totalBenes": 18037418, "procCount": 192, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1356408082", "name": "Abound Health LLC", "specialty": "Community/Behavioral Health", "city": "Mint Hill", "state": "NC", "totalPaid": 201154275.69, "totalClaims": 1398943, "totalBenes": 72766, "procCount": 18, "flags": [], "flagCount": 0}, {"npi": "1194711226", "name": "Centrus Premier Home Care INC", "specialty": "Home Health", "city": "Plymouth", "state": "MA", "totalPaid": 200964428.85, "totalClaims": 678263, "totalBenes": 29909, "procCount": 5, "flags": ["unusual_cost_per_claim|beneficiary_stuffing"], "flagCount": 1}, {"npi": "1205033289", "name": "Saint Benedicts Home Health, Inc.", "specialty": "Day Training, Developmentally Disabled Services", "city": "Robstown", "state": "TX", "totalPaid": 200961048.24, "totalClaims": 3948072, "totalBenes": 157195, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1508072588", "name": "County of Solano", "specialty": "Public Health or Welfare", "city": "Fairfield", "state": "CA", "totalPaid": 200572129.0, "totalClaims": 598414, "totalBenes": 271294, "procCount": 34, "flags": [], "flagCount": 0}, {"npi": "1265515639", "name": "Nu-way House INC", "specialty": "Substance Abuse Rehabilitation Facility", "city": "Minneapolis", "state": "MN", "totalPaid": 200303782.99, "totalClaims": 1386697, "totalBenes": 149697, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1184612764", "name": "The Queens Medical Center", "specialty": "Psychiatric Unit", "city": "Honolulu", "state": "HI", "totalPaid": 200025637.76, "totalClaims": 2466453, "totalBenes": 1988335, "procCount": 561, "flags": [], "flagCount": 0}, {"npi": "1396886297", "name": "Children's Specialized Hospital", "specialty": "Pediatrics", "city": "New Brunswick", "state": "NJ", "totalPaid": 199938874.59, "totalClaims": 1071305, "totalBenes": 548846, "procCount": 105, "flags": [], "flagCount": 0}, {"npi": "1194062448", "name": "Quest Diagnostics Massachusetts LLC", "specialty": "Clinical Medical Laboratory", "city": "Marlborough", "state": "MA", "totalPaid": 199858546.9, "totalClaims": 17471892, "totalBenes": 16331162, "procCount": 478, "flags": [], "flagCount": 0}, {"npi": "1952390239", "name": "Charleston Area Medical Center INC", "specialty": "General Acute Care Hospital", "city": "Charleston", "state": "WV", "totalPaid": 199836981.82, "totalClaims": 4024224, "totalBenes": 3308776, "procCount": 736, "flags": [], "flagCount": 0}, {"npi": "1437458437", "name": "Phoenix Home Care, LLC", "specialty": "Nursing Care", "city": "Springfield", "state": "MO", "totalPaid": 199636917.53, "totalClaims": 733284, "totalBenes": 26645, "procCount": 1, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1720011810", "name": "Banner Desert Medical Center", "specialty": "General Acute Care Hospital", "city": "Mesa", "state": "AZ", "totalPaid": 199618075.41, "totalClaims": 3868184, "totalBenes": 3012437, "procCount": 503, "flags": [], "flagCount": 0}, {"npi": "1659330686", "name": "Helen Ross Mcnabb Center", "specialty": "Clinic/Center  Mental Health (Including Community Mental Health Center)", "city": "Knoxville", "state": "TN", "totalPaid": 198849836.12, "totalClaims": 2676880, "totalBenes": 1606445, "procCount": 47, "flags": [], "flagCount": 0}, {"npi": "1942576905", "name": "Vav Operations LLC", "specialty": "Community/Behavioral Health", "city": "South Bend", "state": "IN", "totalPaid": 198705710.48, "totalClaims": 482306, "totalBenes": 47590, "procCount": 16, "flags": [], "flagCount": 0}, {"npi": "1750827127", "name": "Immigrant Elder Home Care LLC", "specialty": "Home Health", "city": "Woodside", "state": "NY", "totalPaid": 198264655.11, "totalClaims": 1166366, "totalBenes": 53382, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1346243375", "name": "Robert Wood Johnson University Hospital, INC", "specialty": "General Acute Care Hospital", "city": "New Brunswick", "state": "NJ", "totalPaid": 198255360.08, "totalClaims": 2702345, "totalBenes": 2089159, "procCount": 658, "flags": [], "flagCount": 0}, {"npi": "1366543795", "name": "Northwell Health Laboratories", "specialty": "Clinical Medical Laboratory", "city": "New Hyde Park", "state": "NY", "totalPaid": 198238415.99, "totalClaims": 10616684, "totalBenes": 10094053, "procCount": 551, "flags": [], "flagCount": 0}, {"npi": "1447359997", "name": "Ohio State University Hospitals", "specialty": "General Acute Care Hospital", "city": "Columbus", "state": "OH", "totalPaid": 197865657.18, "totalClaims": 4103101, "totalBenes": 3165441, "procCount": 886, "flags": [], "flagCount": 0}, {"npi": "1518903350", "name": "Quest Diagnostics Clinical Laboratories INC", "specialty": "Clinical Medical Laboratory", "city": "Miramar", "state": "FL", "totalPaid": 197582867.09, "totalClaims": 24341922, "totalBenes": 22168637, "procCount": 599, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1629141213", "name": "Pediatric Home Respiratory Services LLC", "specialty": "Home Health", "city": "Roseville", "state": "MN", "totalPaid": 197481598.91, "totalClaims": 1144589, "totalBenes": 928531, "procCount": 153, "flags": [], "flagCount": 0}, {"npi": "1053821728", "name": "Abs Utah P.c.", "specialty": "Community/Behavioral Health", "city": "Salt Lake City", "state": "UT", "totalPaid": 197189859.61, "totalClaims": 654249, "totalBenes": 75917, "procCount": 15, "flags": [], "flagCount": 0}, {"npi": "1699984724", "name": "Friendly Home Care", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 196727809.71, "totalClaims": 1248002, "totalBenes": 50477, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1134632599", "name": "Swinomish Health Services", "specialty": "Clinic/Center  Rehabilitation  Substance Use Disorder", "city": "Anacortes", "state": "WA", "totalPaid": 195928568.53, "totalClaims": 832481, "totalBenes": 121992, "procCount": 50, "flags": ["unusual_cost_per_claim|beneficiary_stuffing"], "flagCount": 1}, {"npi": "1346564127", "name": "Teamselect Home Care of Colorado LLC", "specialty": "Home Health", "city": "Aurora", "state": "CO", "totalPaid": 195342935.93, "totalClaims": 2458337, "totalBenes": 87880, "procCount": 14, "flags": [], "flagCount": 0}, {"npi": "1871647115", "name": "County of Sonoma", "specialty": "Clinic/Center, Mental Health (Including Community Mental Health Center)", "city": "Santa Rosa", "state": "CA", "totalPaid": 195090095.45, "totalClaims": 627961, "totalBenes": 243899, "procCount": 36, "flags": [], "flagCount": 0}, {"npi": "1174680557", "name": "Ohioguidestone", "specialty": "Community/Behavioral Health", "city": "Berea", "state": "OH", "totalPaid": 195022003.93, "totalClaims": 2216965, "totalBenes": 1019129, "procCount": 46, "flags": [], "flagCount": 0}, {"npi": "1265820179", "name": "Banner - University Medical Center Tucson Campus LLC", "specialty": "Clinic/Center, Multi-Specialty", "city": "Tucson", "state": "AZ", "totalPaid": 194417422.51, "totalClaims": 3550797, "totalBenes": 2495527, "procCount": 642, "flags": [], "flagCount": 0}, {"npi": "1104986017", "name": "Lutheran Family Services of Virginia Inc.", "specialty": "Community Based Residential Treatment Facility  Intellectual and/or Developmental Disabilities", "city": "Lynchburg", "state": "VA", "totalPaid": 194342716.42, "totalClaims": 32409, "totalBenes": 30752, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1598793671", "name": "Seven Counties Services, Inc.", "specialty": "Counselor", "city": "Louisville", "state": "KY", "totalPaid": 194182598.74, "totalClaims": 2375545, "totalBenes": 1305772, "procCount": 78, "flags": [], "flagCount": 0}, {"npi": "1548602378", "name": "Queens Homecare Agency", "specialty": "Home Health", "city": "New York", "state": "NY", "totalPaid": 194030722.94, "totalClaims": 1380277, "totalBenes": 55131, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1699782722", "name": "Aegis Sciences Corporation", "specialty": "Clinical Medical Laboratory", "city": "Nashville", "state": "TN", "totalPaid": 193810662.97, "totalClaims": 7411693, "totalBenes": 5123720, "procCount": 104, "flags": [], "flagCount": 0}, {"npi": "1942304126", "name": "New River Valley Community Services", "specialty": "Clinic/Center  Mental Health (Including Community Mental Health Center)", "city": "Blacksburg", "state": "VA", "totalPaid": 193801439.98, "totalClaims": 930786, "totalBenes": 417891, "procCount": 57, "flags": [], "flagCount": 0}, {"npi": "1083810055", "name": "Pas-personal Accounting Services, Inc.", "specialty": "Contractor", "city": "Taylor", "state": "MI", "totalPaid": 192742245.95, "totalClaims": 1808348, "totalBenes": 133967, "procCount": 9, "flags": [], "flagCount": 0}, {"npi": "1669562328", "name": "Xincon Home-healthcare Services, Inc.", "specialty": "Home Health", "city": "New York", "state": "NY", "totalPaid": 192165526.72, "totalClaims": 1477111, "totalBenes": 88975, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1568512770", "name": "Region Viii, One Sky Community Services Inc.", "specialty": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Portsmouth", "state": "NH", "totalPaid": 192142597.37, "totalClaims": 650551, "totalBenes": 82628, "procCount": 11, "flags": [], "flagCount": 0}, {"npi": "1396716858", "name": "Health Managment of Kansas, Inc.", "specialty": "Home Health", "city": "Coffeyville", "state": "KS", "totalPaid": 192131540.33, "totalClaims": 2310507, "totalBenes": 251487, "procCount": 8, "flags": [], "flagCount": 0}, {"npi": "1396822839", "name": "Samaritan Daytop Village Inc.", "specialty": "Substance Abuse Rehabilitation Facility", "city": "Richmond Hill", "state": "NY", "totalPaid": 191804343.32, "totalClaims": 1448129, "totalBenes": 310502, "procCount": 34, "flags": [], "flagCount": 0}, {"npi": "1205927928", "name": "Universal Rehabilitation and Fitness, Inc.", "specialty": "Clinic/Center, Rehabilitation", "city": "Livingston", "state": "NJ", "totalPaid": 191010017.45, "totalClaims": 824169, "totalBenes": 74107, "procCount": 19, "flags": [], "flagCount": 0}, {"npi": "1962461889", "name": "University Physicians Incorporated", "specialty": "Anesthesiology", "city": "Aurora", "state": "CO", "totalPaid": 190650224.07, "totalClaims": 3200864, "totalBenes": 2760153, "procCount": 421, "flags": [], "flagCount": 0}, {"npi": "1780639971", "name": "DHHS PHS Naihs Shiprock Hospital", "specialty": "General Acute Care Hospital", "city": "Shiprock", "state": "NM", "totalPaid": 190581941.35, "totalClaims": 430719, "totalBenes": 329086, "procCount": 84, "flags": [], "flagCount": 0}, {"npi": "1104982917", "name": "St Lukes Roosevelt Hospital Center", "specialty": "Case Management", "city": "New York", "state": "NY", "totalPaid": 190494081.73, "totalClaims": 2823800, "totalBenes": 2303521, "procCount": 676, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1245305416", "name": "Dac, INC", "specialty": "Community/Behavioral Health", "city": "Maquoketa", "state": "IA", "totalPaid": 189664281.47, "totalClaims": 352151, "totalBenes": 57602, "procCount": 10, "flags": [], "flagCount": 0}, {"npi": "1255868915", "name": "Bari Home Care LLC", "specialty": "Health Maintenance Organization", "city": "Ronkonkoma", "state": "NY", "totalPaid": 189660524.86, "totalClaims": 1195439, "totalBenes": 55914, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1104202761", "name": "Vanderbilt University Medical Center", "specialty": "Transplant Surgery", "city": "Nashville", "state": "TN", "totalPaid": 189387729.77, "totalClaims": 3377658, "totalBenes": 2666786, "procCount": 475, "flags": [], "flagCount": 0}, {"npi": "1306182548", "name": "Alivia Specialty LLC", "specialty": "Pharmacy  Specialty Pharmacy", "city": "Guaynabo", "state": "PR", "totalPaid": 188981224.15, "totalClaims": 105104, "totalBenes": 71080, "procCount": 60, "flags": [], "flagCount": 0}, {"npi": "1306912282", "name": "Rem Hennepin, Inc.", "specialty": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Minneapolis", "state": "MN", "totalPaid": 188886317.42, "totalClaims": 668600, "totalBenes": 24766, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1376526616", "name": "Easterseals Morc Health Care, Inc.", "specialty": "Psychiatry & Neurology, Psychiatry", "city": "Auburn Hills", "state": "MI", "totalPaid": 188329379.4, "totalClaims": 1720509, "totalBenes": 947813, "procCount": 67, "flags": [], "flagCount": 0}, {"npi": "1467492421", "name": "St Elizabeth Medical Center, INC", "specialty": "Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier", "city": "Edgewood", "state": "KY", "totalPaid": 188250923.2, "totalClaims": 4271419, "totalBenes": 3302196, "procCount": 628, "flags": [], "flagCount": 0}, {"npi": "1558410233", "name": "Lindley Habilitation Services INC", "specialty": "Community/Behavioral Health", "city": "Greensboro", "state": "NC", "totalPaid": 187996314.22, "totalClaims": 1336885, "totalBenes": 71534, "procCount": 10, "flags": [], "flagCount": 0}, {"npi": "1003803032", "name": "Wake Forest University Health Sciences", "specialty": "Clinic/Center, Multi-Specialty", "city": "Winston Salem", "state": "NC", "totalPaid": 187983111.72, "totalClaims": 7289003, "totalBenes": 4970675, "procCount": 470, "flags": [], "flagCount": 0}, {"npi": "1609807122", "name": "Spartanburg Medical Center", "specialty": "Ambulance", "city": "Spartanburg", "state": "SC", "totalPaid": 187762033.54, "totalClaims": 3806991, "totalBenes": 3046086, "procCount": 632, "flags": [], "flagCount": 0}, {"npi": "1073608998", "name": "Orsini Pharmaceutical Services LLC", "specialty": "Pharmacy  Specialty Pharmacy", "city": "Elk Grove Village", "state": "IL", "totalPaid": 187472847.16, "totalClaims": 29739, "totalBenes": 16286, "procCount": 12, "flags": [], "flagCount": 0}, {"npi": "1487608485", "name": "Spectrum Health Systems, INC", "specialty": "Clinic/Center, Rehabilitation, Substance Use Disorder", "city": "Worcester", "state": "MA", "totalPaid": 187394552.63, "totalClaims": 7479414, "totalBenes": 518181, "procCount": 23, "flags": [], "flagCount": 0}, {"npi": "1174610075", "name": "State of Oklahoma Dept. of Human Services", "specialty": "Case Management", "city": "Oklahoma City", "state": "OK", "totalPaid": 187336349.01, "totalClaims": 814826, "totalBenes": 381018, "procCount": 1, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1396750188", "name": "Nystrom & Associates, Ltd", "specialty": "Marriage & Family Therapist", "city": "New Brighton", "state": "MN", "totalPaid": 186856558.38, "totalClaims": 2228875, "totalBenes": 1433370, "procCount": 45, "flags": [], "flagCount": 0}, {"npi": "1437533627", "name": "Dane County Department of Human Services", "specialty": "Community/Behavioral Health", "city": "Madison", "state": "WI", "totalPaid": 186854718.62, "totalClaims": 1838169, "totalBenes": 219634, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1073599478", "name": "Laboratory Corporation of America", "specialty": "Clinical Medical Laboratory", "city": "Seattle", "state": "WA", "totalPaid": 186689145.0, "totalClaims": 17061269, "totalBenes": 16048154, "procCount": 449, "flags": [], "flagCount": 0}, {"npi": "1184602518", "name": "Prentke Romich Company", "specialty": "Durable Medical Equipment & Medical Supplies", "city": "Wooster", "state": "OH", "totalPaid": 186680358.33, "totalClaims": 76767, "totalBenes": 58226, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1629282272", "name": "Central Boston Elder Services, Inc.", "specialty": "Case Management", "city": "Roxbury", "state": "MA", "totalPaid": 186664285.68, "totalClaims": 1853772, "totalBenes": 409851, "procCount": 30, "flags": [], "flagCount": 0}, {"npi": "1043295934", "name": "Hope Network Behavioral Health Services", "specialty": "Psychiatry & Neurology, Child & Adolescent Psychiatry", "city": "Nunica", "state": "MI", "totalPaid": 186629798.54, "totalClaims": 534955, "totalBenes": 77651, "procCount": 33, "flags": [], "flagCount": 0}, {"npi": "1689639544", "name": "Healthtrackrx Indiana, INC", "specialty": "Clinical Medical Laboratory", "city": "Denton", "state": "TX", "totalPaid": 186018381.12, "totalClaims": 6668299, "totalBenes": 4926410, "procCount": 96, "flags": [], "flagCount": 0}, {"npi": "1093787095", "name": "Justice Resource Institute INC", "specialty": "Clinic/Center  Mental Health (Including Community Mental Health Center)", "city": "Acton", "state": "MA", "totalPaid": 185795247.73, "totalClaims": 1950809, "totalBenes": 312697, "procCount": 20, "flags": [], "flagCount": 0}, {"npi": "1114924834", "name": "Saint Peter's University Hospital", "specialty": "General Acute Care Hospital", "city": "New Brunswick", "state": "NJ", "totalPaid": 185493396.35, "totalClaims": 3091773, "totalBenes": 2599757, "procCount": 536, "flags": [], "flagCount": 0}, {"npi": "1619105244", "name": "Community Physicians of Indiana INC", "specialty": "Internal Medicine", "city": "Indianapolis", "state": "IN", "totalPaid": 185264697.48, "totalClaims": 4492541, "totalBenes": 3645427, "procCount": 408, "flags": [], "flagCount": 0}, {"npi": "1801920111", "name": "Circle of Life Home Care Anishinaabe, LLC", "specialty": "Home Health", "city": "Shoreview", "state": "MN", "totalPaid": 184771602.69, "totalClaims": 2118463, "totalBenes": 110632, "procCount": 9, "flags": [], "flagCount": 0}, {"npi": "1427267806", "name": "Western New York Independent Living, Inc.", "specialty": "Home Health", "city": "Buffalo", "state": "NY", "totalPaid": 184378247.99, "totalClaims": 1385277, "totalBenes": 81646, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1588611842", "name": "Interborough Developmental and Consultation Center Inc.", "specialty": "Case Management", "city": "Brooklyn", "state": "NY", "totalPaid": 184364066.13, "totalClaims": 1469958, "totalBenes": 615424, "procCount": 28, "flags": [], "flagCount": 0}, {"npi": "1275672057", "name": "Monadnock Developmental Services", "specialty": "Case Management", "city": "Keene", "state": "NH", "totalPaid": 184126063.82, "totalClaims": 699937, "totalBenes": 104806, "procCount": 11, "flags": [], "flagCount": 0}, {"npi": "1518094176", "name": "Easy Living Inc.", "specialty": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Springfield", "state": "MO", "totalPaid": 183015349.91, "totalClaims": 361667, "totalBenes": 33709, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1225110497", "name": "Accu Reference Medical Lab, LLC", "specialty": "Clinical Medical Laboratory", "city": "Linden", "state": "NJ", "totalPaid": 183007871.66, "totalClaims": 12016657, "totalBenes": 9350946, "procCount": 452, "flags": [], "flagCount": 0}, {"npi": "1992092274", "name": "Perspectives Corporation", "specialty": "Day Training  Developmentally Disabled Services", "city": "North Kingstown", "state": "RI", "totalPaid": 182856173.12, "totalClaims": 119574, "totalBenes": 93543, "procCount": 15, "flags": ["unusual_cost_per_claim|spending_spike"], "flagCount": 1}, {"npi": "1740353861", "name": "Santa Barbara County Auditor", "specialty": "Psychologist", "city": "Santa Barbara", "state": "CA", "totalPaid": 182706936.77, "totalClaims": 2035763, "totalBenes": 319598, "procCount": 59, "flags": [], "flagCount": 0}, {"npi": "1588712020", "name": "Genetic Disease Screening Program State of CA", "specialty": "Clinical Medical Laboratory", "city": "Richmond", "state": "CA", "totalPaid": 182456074.78, "totalClaims": 925570, "totalBenes": 847682, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1831263110", "name": "Tobii Dynavox LLC", "specialty": "Durable Medical Equipment & Medical Supplies, Customized Equipment", "city": "Coraopolis", "state": "PA", "totalPaid": 182091632.09, "totalClaims": 63568, "totalBenes": 51965, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1861447179", "name": "Aurora Health Care Metro, Inc.", "specialty": "Internal Medicine, Hematology & Oncology", "city": "Milwaukee", "state": "WI", "totalPaid": 182029810.37, "totalClaims": 7447014, "totalBenes": 5532079, "procCount": 928, "flags": [], "flagCount": 0}, {"npi": "1720319726", "name": "Best Choice Home Health Care, Inc.", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 181657233.87, "totalClaims": 986720, "totalBenes": 44860, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1285621623", "name": "Pikeville Medical Center INC", "specialty": "General Acute Care Hospital", "city": "Pikeville", "state": "KY", "totalPaid": 181382124.61, "totalClaims": 4310485, "totalBenes": 3059506, "procCount": 733, "flags": [], "flagCount": 0}, {"npi": "1609261478", "name": "Quality Family Care, Llc.", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 180708141.26, "totalClaims": 1303355, "totalBenes": 65934, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1538471800", "name": "Vhs Childrens Hospital of Michigan INC", "specialty": "Clinic/Center, Ambulatory Surgical", "city": "Detroit", "state": "MI", "totalPaid": 180238665.03, "totalClaims": 3915408, "totalBenes": 3496803, "procCount": 612, "flags": [], "flagCount": 0}, {"npi": "1275604977", "name": "County of Sacramento", "specialty": "Community/Behavioral Health", "city": "Sacramento", "state": "CA", "totalPaid": 180199793.14, "totalClaims": 5978106, "totalBenes": 454795, "procCount": 30, "flags": [], "flagCount": 0}, {"npi": "1619047131", "name": "Fegs Home Attendant Services, Inc.", "specialty": "Home Health", "city": "Bronx", "state": "NY", "totalPaid": 180186829.78, "totalClaims": 898925, "totalBenes": 43744, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1073997680", "name": "Tri-med Staffing, Inc.", "specialty": "Home Health", "city": "Hewlett", "state": "NY", "totalPaid": 179976482.33, "totalClaims": 1164465, "totalBenes": 53266, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1578554630", "name": "Suny Health Science Center at Syracuse", "specialty": "General Acute Care Hospital", "city": "Syracuse", "state": "NY", "totalPaid": 179830984.53, "totalClaims": 3290130, "totalBenes": 2912348, "procCount": 768, "flags": [], "flagCount": 0}, {"npi": "1861554438", "name": "University Medical Center, INC", "specialty": "Student in an Organized Health Care Education/Training Program", "city": "Louisville", "state": "KY", "totalPaid": 179414718.83, "totalClaims": 2408658, "totalBenes": 1745405, "procCount": 492, "flags": [], "flagCount": 0}, {"npi": "1134452865", "name": "Fast Pace Medical Clinic PLLC", "specialty": "Family Medicine", "city": "Spring Hill", "state": "TN", "totalPaid": 179414627.5, "totalClaims": 5481077, "totalBenes": 4206680, "procCount": 114, "flags": [], "flagCount": 0}, {"npi": "1255451597", "name": "Medical Associates of Ebnhc", "specialty": "Clinic/Center, Community Health", "city": "East Boston", "state": "MA", "totalPaid": 179326388.44, "totalClaims": 3014616, "totalBenes": 2703643, "procCount": 368, "flags": [], "flagCount": 0}, {"npi": "1043224355", "name": "New York City Health and Hospitals Corporation", "specialty": "Internal Medicine", "city": "Brooklyn", "state": "NY", "totalPaid": 178841758.4, "totalClaims": 3786979, "totalBenes": 3190322, "procCount": 728, "flags": [], "flagCount": 0}, {"npi": "1184780629", "name": "Voca Corporation of West Virginia Inc.", "specialty": "Clinic/Center  Developmental Disabilities", "city": "Princeton", "state": "WV", "totalPaid": 178326930.63, "totalClaims": 142124, "totalBenes": 98875, "procCount": 13, "flags": [], "flagCount": 0}, {"npi": "1356357115", "name": "Wasatch Behavioral Health Special Service District", "specialty": "Community/Behavioral Health", "city": "Provo", "state": "UT", "totalPaid": 178229846.51, "totalClaims": 1898120, "totalBenes": 707271, "procCount": 49, "flags": [], "flagCount": 0}, {"npi": "1245370717", "name": "Jamaica Hospital", "specialty": "General Acute Care Hospital", "city": "Richmond Hill", "state": "NY", "totalPaid": 178141487.41, "totalClaims": 3580920, "totalBenes": 3019011, "procCount": 518, "flags": [], "flagCount": 0}, {"npi": "1518032622", "name": "Indiana University Health, INC", "specialty": "Durable Medical Equipment & Medical Supplies", "city": "Indianapolis", "state": "IN", "totalPaid": 178125874.45, "totalClaims": 945066, "totalBenes": 713278, "procCount": 90, "flags": [], "flagCount": 0}, {"npi": "1295789907", "name": "Carolinas Medical Center", "specialty": "General Acute Care Hospital", "city": "Charlotte", "state": "NC", "totalPaid": 177746600.15, "totalClaims": 3108568, "totalBenes": 2624671, "procCount": 441, "flags": [], "flagCount": 0}, {"npi": "1104997121", "name": "Detroit Area Agency on Aging", "specialty": "Case Management", "city": "Detroit", "state": "MI", "totalPaid": 177637742.73, "totalClaims": 2583623, "totalBenes": 246601, "procCount": 18, "flags": [], "flagCount": 0}, {"npi": "1710918545", "name": "Regents of the University of California", "specialty": "General Acute Care Hospital", "city": "Sacramento", "state": "CA", "totalPaid": 177545212.3, "totalClaims": 2705327, "totalBenes": 2261870, "procCount": 628, "flags": [], "flagCount": 0}, {"npi": "1972655991", "name": "Mosaic", "specialty": "Community Based Residential Treatment Facility  Intellectual and/or Developmental Disabilities", "city": "Urbandale", "state": "IA", "totalPaid": 177402110.67, "totalClaims": 124202, "totalBenes": 15589, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1558535013", "name": "Always Home Care INC", "specialty": "Home Health", "city": "West New York", "state": "NJ", "totalPaid": 177277886.73, "totalClaims": 2017036, "totalBenes": 112416, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1972662328", "name": "Community Crossroads, Inc.", "specialty": "Day Training, Developmentally Disabled Services", "city": "Atkinson", "state": "NH", "totalPaid": 177008500.02, "totalClaims": 945003, "totalBenes": 96788, "procCount": 11, "flags": [], "flagCount": 0}, {"npi": "1215375985", "name": "International Home Care Services of Ny, LLC", "specialty": "Home Health", "city": "Rego Park", "state": "NY", "totalPaid": 176735544.75, "totalClaims": 1101876, "totalBenes": 51178, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1831220714", "name": "Inova Health Care Services", "specialty": "Clinic/Center, Rehabilitation, Substance Use Disorder", "city": "Falls Church", "state": "VA", "totalPaid": 176675235.49, "totalClaims": 2860436, "totalBenes": 2249728, "procCount": 636, "flags": [], "flagCount": 0}, {"npi": "1033154026", "name": "University of Cincinnati Medical Center, LLC", "specialty": "General Acute Care Hospital", "city": "Cincinnati", "state": "OH", "totalPaid": 176532494.56, "totalClaims": 3755175, "totalBenes": 2956415, "procCount": 920, "flags": [], "flagCount": 0}, {"npi": "1073535027", "name": "New York City Health and Hospitals Corporation", "specialty": "Internal Medicine", "city": "New York", "state": "NY", "totalPaid": 176327486.27, "totalClaims": 3438615, "totalBenes": 2902405, "procCount": 713, "flags": [], "flagCount": 0}, {"npi": "1629357629", "name": "Parent Care Home Care, LLC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 176231607.73, "totalClaims": 1082835, "totalBenes": 51097, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1336234194", "name": "Apria Healthcare LLC", "specialty": "Durable Medical Equipment & Medical Supplies", "city": "Indianapolis", "state": "IN", "totalPaid": 176202880.98, "totalClaims": 2984969, "totalBenes": 2834218, "procCount": 162, "flags": [], "flagCount": 0}, {"npi": "1972598449", "name": "County of Santa Clara", "specialty": "Clinic/Center  Federally Qualified Health Center (FQHC)", "city": "San Jose", "state": "CA", "totalPaid": 175858802.32, "totalClaims": 1389652, "totalBenes": 1068123, "procCount": 194, "flags": [], "flagCount": 0}, {"npi": "1999999984", "name": "Not Found", "specialty": "Unknown", "city": "Unknown", "state": "Unknown", "totalPaid": 175814218.49, "totalClaims": 7882006, "totalBenes": 994268, "procCount": 213, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1881061695", "name": "Integrated Home Care Services Inc.", "specialty": "Case Management", "city": "Miramar", "state": "FL", "totalPaid": 175737981.78, "totalClaims": 4732853, "totalBenes": 290080, "procCount": 106, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1750358297", "name": "City of Hope National Medical Center", "specialty": "General Acute Care Hospital", "city": "Duarte", "state": "CA", "totalPaid": 175720756.6, "totalClaims": 1273291, "totalBenes": 867255, "procCount": 412, "flags": [], "flagCount": 0}, {"npi": "1255523494", "name": "Mulberry Street Management Services Inc.", "specialty": "In Home Supportive Care", "city": "Morgantown", "state": "WV", "totalPaid": 175627726.54, "totalClaims": 789594, "totalBenes": 322273, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1871540237", "name": "Variety Children's Hospital", "specialty": "General Acute Care Hospital  Children", "city": "Miami", "state": "FL", "totalPaid": 175320722.95, "totalClaims": 1625065, "totalBenes": 1318128, "procCount": 428, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1639686793", "name": "Anchor Health Homecare Services INC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 174640204.15, "totalClaims": 977319, "totalBenes": 55470, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1306938071", "name": "Adventist Health System-sunbelt, INC", "specialty": "Ambulance, Land Transport", "city": "Orlando", "state": "FL", "totalPaid": 173979588.21, "totalClaims": 7596642, "totalBenes": 4864636, "procCount": 831, "flags": [], "flagCount": 0}, {"npi": "1104931625", "name": "Chimes Metro Inc.", "specialty": "Psychologist  Intellectual & Developmental Disabilities", "city": "Newark", "state": "DE", "totalPaid": 173976280.82, "totalClaims": 823210, "totalBenes": 50585, "procCount": 11, "flags": [], "flagCount": 0}, {"npi": "1508124488", "name": "Community Bridges Inc.", "specialty": "Community/Behavioral Health", "city": "Mesa", "state": "AZ", "totalPaid": 172944106.61, "totalClaims": 4161737, "totalBenes": 1666664, "procCount": 73, "flags": [], "flagCount": 0}, {"npi": "1427182286", "name": "Northern Human Services", "specialty": "Clinic/Center, Developmental Disabilities", "city": "Conway", "state": "NH", "totalPaid": 172908169.69, "totalClaims": 853277, "totalBenes": 93639, "procCount": 11, "flags": [], "flagCount": 0}, {"npi": "1447275037", "name": "Southcoast Hospitals Group, INC", "specialty": "General Acute Care Hospital", "city": "New Bedford", "state": "MA", "totalPaid": 172795577.18, "totalClaims": 4878292, "totalBenes": 4017376, "procCount": 545, "flags": [], "flagCount": 0}, {"npi": "1427343219", "name": "Cabs Home Attendants Service Inc.", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 172746561.79, "totalClaims": 779151, "totalBenes": 34766, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1194020370", "name": "Community Alternatives Virginia Inc.", "specialty": "Community/Behavioral Health", "city": "Forest", "state": "VA", "totalPaid": 172726465.68, "totalClaims": 22926, "totalBenes": 21601, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1922335843", "name": "1st Choice Home Care Services, INC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 172281254.98, "totalClaims": 1052239, "totalBenes": 46798, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1689778953", "name": "Saginaw County Community Mental Health Authority", "specialty": "Community/Behavioral Health", "city": "Saginaw", "state": "MI", "totalPaid": 172173555.05, "totalClaims": 797441, "totalBenes": 396475, "procCount": 63, "flags": [], "flagCount": 0}, {"npi": "1295763217", "name": "Prisma Health University Medical Group", "specialty": "Internal Medicine", "city": "Greenville", "state": "SC", "totalPaid": 172150510.32, "totalClaims": 3035472, "totalBenes": 2842295, "procCount": 297, "flags": [], "flagCount": 0}, {"npi": "1366594699", "name": "The Nemours Foundation", "specialty": "Clinic/Center, Developmental Disabilities", "city": "Wilmington", "state": "DE", "totalPaid": 172062054.8, "totalClaims": 2853265, "totalBenes": 2210987, "procCount": 395, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1700087590", "name": "Alameda Health System", "specialty": "General Acute Care Hospital", "city": "Oakland", "state": "CA", "totalPaid": 172033330.29, "totalClaims": 4052086, "totalBenes": 3506913, "procCount": 698, "flags": [], "flagCount": 0}, {"npi": "1093789901", "name": "Medco Respiratory Instruments, Inc.", "specialty": "Durable Medical Equipment & Medical Supplies", "city": "Houston", "state": "TX", "totalPaid": 171568601.99, "totalClaims": 1601843, "totalBenes": 1429427, "procCount": 128, "flags": [], "flagCount": 0}, {"npi": "1851781314", "name": "American Medical Response of Maricopa, LLC", "specialty": "Ambulance, Land Transport", "city": "Mesa", "state": "AZ", "totalPaid": 171283719.16, "totalClaims": 948049, "totalBenes": 786448, "procCount": 11, "flags": [], "flagCount": 0}, {"npi": "1255314704", "name": "Laboratory Corporation of America", "specialty": "Clinical Medical Laboratory", "city": "Tampa", "state": "FL", "totalPaid": 171132435.03, "totalClaims": 37608686, "totalBenes": 33588854, "procCount": 582, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1063839322", "name": "Eihab Human Services New Jersey, Inc.", "specialty": "Case Management", "city": "Howell", "state": "NJ", "totalPaid": 171052910.98, "totalClaims": 398224, "totalBenes": 14589, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1912021452", "name": "Rescare, INC", "specialty": "Community/Behavioral Health", "city": "Fairfield", "state": "IA", "totalPaid": 170956680.19, "totalClaims": 930002, "totalBenes": 63196, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1932570595", "name": "The Arc of Oakland County INC", "specialty": "Voluntary or Charitable", "city": "Troy", "state": "MI", "totalPaid": 170823209.44, "totalClaims": 1370337, "totalBenes": 130183, "procCount": 7, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1962587071", "name": "Contra Costa County", "specialty": "Clinic/Center  Federally Qualified Health Center (FQHC)", "city": "San Pablo", "state": "CA", "totalPaid": 170808263.35, "totalClaims": 2030737, "totalBenes": 1589857, "procCount": 253, "flags": [], "flagCount": 0}, {"npi": "1104847946", "name": "The Providence Center INC", "specialty": "Counselor, Mental Health", "city": "Providence", "state": "RI", "totalPaid": 170758161.83, "totalClaims": 1616350, "totalBenes": 675879, "procCount": 43, "flags": [], "flagCount": 0}, {"npi": "1467538520", "name": "Bakersfield Memorial Hospital", "specialty": "General Acute Care Hospital", "city": "Bakersfield", "state": "CA", "totalPaid": 170747346.82, "totalClaims": 2383944, "totalBenes": 1958072, "procCount": 332, "flags": [], "flagCount": 0}, {"npi": "1396765681", "name": "Summa Health System", "specialty": "General Acute Care Hospital", "city": "Akron", "state": "OH", "totalPaid": 170729548.7, "totalClaims": 3710689, "totalBenes": 2786749, "procCount": 673, "flags": [], "flagCount": 0}, {"npi": "1679279046", "name": "Fishing Point Health Care LLC", "specialty": "General Practice", "city": "Portsmouth", "state": "VA", "totalPaid": 169838122.0, "totalClaims": 139427, "totalBenes": 13417, "procCount": 29, "flags": ["unusual_cost_per_claim|beneficiary_stuffing", "instant_high_volume"], "flagCount": 2}, {"npi": "1063833358", "name": "All Heart Homecare Agency", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 169732235.99, "totalClaims": 994795, "totalBenes": 41486, "procCount": 4, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1386703304", "name": "Behavioral Health and Developmental Services of Strafford County, INC", "specialty": "Clinic/Center, Developmental Disabilities", "city": "Dover", "state": "NH", "totalPaid": 169664870.29, "totalClaims": 688223, "totalBenes": 79417, "procCount": 13, "flags": [], "flagCount": 0}, {"npi": "1104024926", "name": "Sunnyside Home Care Project, Inc.", "specialty": "Home Health", "city": "Long Island City", "state": "NY", "totalPaid": 169641840.83, "totalClaims": 770703, "totalBenes": 33893, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1205813540", "name": "Child & Family Services Inc.", "specialty": "Counselor  Mental Health", "city": "New Bedford", "state": "MA", "totalPaid": 169569445.56, "totalClaims": 1630436, "totalBenes": 512841, "procCount": 32, "flags": [], "flagCount": 0}, {"npi": "1376623538", "name": "Kern County Hospital Authority", "specialty": "General Acute Care Hospital", "city": "Bakersfield", "state": "CA", "totalPaid": 169300885.23, "totalClaims": 2746824, "totalBenes": 2422957, "procCount": 533, "flags": [], "flagCount": 0}, {"npi": "1205293321", "name": "Jmd Care Services INC", "specialty": "Home Health", "city": "Westbury", "state": "NY", "totalPaid": 169038811.84, "totalClaims": 1013717, "totalBenes": 44155, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1528144318", "name": "Friendship Community Care Inc.", "specialty": "Clinic/Center  Rehabilitation  Comprehensive Outpatient Rehabilitation Facility (CORF)", "city": "Russellville", "state": "AR", "totalPaid": 168981642.5, "totalClaims": 2351816, "totalBenes": 266944, "procCount": 41, "flags": [], "flagCount": 0}, {"npi": "1295937712", "name": "Lifeskills INC", "specialty": "Community/Behavioral Health", "city": "Bowling Green", "state": "KY", "totalPaid": 168888495.38, "totalClaims": 1424348, "totalBenes": 174133, "procCount": 11, "flags": ["unusual_cost_per_claim|beneficiary_stuffing"], "flagCount": 1}, {"npi": "1063630838", "name": "Department of Mental Health", "specialty": "Community/Behavioral Health", "city": "Worcester", "state": "MA", "totalPaid": 168780836.24, "totalClaims": 623421, "totalBenes": 93680, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1548347156", "name": "Option 1 Nutrition Solutions LLC", "specialty": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition", "city": "Denver", "state": "CO", "totalPaid": 168526474.0, "totalClaims": 922782, "totalBenes": 795948, "procCount": 65, "flags": [], "flagCount": 0}, {"npi": "1043267107", "name": "Volunteer Behavioral Health Care System", "specialty": "Counselor", "city": "Murfreesboro", "state": "TN", "totalPaid": 168306108.69, "totalClaims": 4091213, "totalBenes": 2609629, "procCount": 34, "flags": [], "flagCount": 0}, {"npi": "1396812897", "name": "Astrocare Class, Inc.", "specialty": "Home Health", "city": "Houston", "state": "TX", "totalPaid": 168037723.33, "totalClaims": 1264756, "totalBenes": 153759, "procCount": 29, "flags": [], "flagCount": 0}, {"npi": "1811044878", "name": "William Beaumont Hospital", "specialty": "Internal Medicine, Cardiovascular Disease", "city": "Royal Oak", "state": "MI", "totalPaid": 168035919.29, "totalClaims": 3961907, "totalBenes": 3416438, "procCount": 671, "flags": [], "flagCount": 0}, {"npi": "1669423380", "name": "Mainegeneral Medical Center", "specialty": "General Acute Care Hospital", "city": "Augusta", "state": "ME", "totalPaid": 167777037.77, "totalClaims": 4791823, "totalBenes": 3946101, "procCount": 812, "flags": [], "flagCount": 0}, {"npi": "1134165970", "name": "Labone of Ohio INC", "specialty": "Clinical Medical Laboratory", "city": "Cincinnati", "state": "OH", "totalPaid": 167169121.85, "totalClaims": 11892402, "totalBenes": 9891570, "procCount": 423, "flags": [], "flagCount": 0}, {"npi": "1033591003", "name": "Eden Autism Services.", "specialty": "Day Training, Developmentally Disabled Services", "city": "Princeton", "state": "NJ", "totalPaid": 167037729.85, "totalClaims": 444158, "totalBenes": 24244, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1811973100", "name": "Ochsner Clinic Foundation", "specialty": "General Acute Care Hospital", "city": "New Orleans", "state": "LA", "totalPaid": 166973750.31, "totalClaims": 3914418, "totalBenes": 3292276, "procCount": 457, "flags": [], "flagCount": 0}, {"npi": "1376675785", "name": "South Dakota Achieve", "specialty": "Clinic/Center  Developmental Disabilities", "city": "Sioux Falls", "state": "SD", "totalPaid": 166942970.17, "totalClaims": 419003, "totalBenes": 184831, "procCount": 9, "flags": ["unusual_cost_per_claim|spending_spike"], "flagCount": 1}, {"npi": "1164577391", "name": "Spectrum Community Services", "specialty": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Westland", "state": "MI", "totalPaid": 166706396.01, "totalClaims": 852318, "totalBenes": 92409, "procCount": 23, "flags": [], "flagCount": 0}, {"npi": "1831449370", "name": "Clark County Department of Family Services", "specialty": "Case Management", "city": "Las Vegas", "state": "NV", "totalPaid": 166586328.54, "totalClaims": 325120, "totalBenes": 315036, "procCount": 1, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1932472107", "name": "North Shore University Hospital", "specialty": "Case Management", "city": "New Hyde Park", "state": "NY", "totalPaid": 166534127.7, "totalClaims": 505760, "totalBenes": 503719, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1821032913", "name": "New Vista of the Bluegrass INC", "specialty": "Clinic/Center  Mental Health (Including Community Mental Health Center)", "city": "Versailles", "state": "KY", "totalPaid": 166380906.21, "totalClaims": 1263610, "totalBenes": 222661, "procCount": 6, "flags": ["unusual_cost_per_claim|beneficiary_stuffing"], "flagCount": 1}, {"npi": "1629137575", "name": "Department of Behavioral Health", "specialty": "Social Worker, Clinical", "city": "Fresno", "state": "CA", "totalPaid": 166252391.95, "totalClaims": 3936771, "totalBenes": 344120, "procCount": 24, "flags": [], "flagCount": 0}, {"npi": "1477814879", "name": "Scioto County Counseling Center, INC", "specialty": "Counselor, Addiction (Substance Use Disorder)", "city": "Portsmouth", "state": "OH", "totalPaid": 166137609.9, "totalClaims": 1385194, "totalBenes": 346916, "procCount": 41, "flags": [], "flagCount": 0}, {"npi": "1881058071", "name": "All American Homecare Agency Inc.", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 166008805.02, "totalClaims": 1010751, "totalBenes": 49232, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1104991066", "name": "Rem River Bluffs, Inc.", "specialty": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Rochester", "state": "MN", "totalPaid": 165769772.59, "totalClaims": 653524, "totalBenes": 21669, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1346208949", "name": "Accredo Health Group INC", "specialty": "Pharmacy", "city": "Memphis", "state": "TN", "totalPaid": 165627376.42, "totalClaims": 46758, "totalBenes": 39535, "procCount": 28, "flags": [], "flagCount": 0}, {"npi": "1740230119", "name": "Oakwood Healthcare, Inc.", "specialty": "General Acute Care Hospital", "city": "Dearborn", "state": "MI", "totalPaid": 165609788.98, "totalClaims": 7046474, "totalBenes": 6580283, "procCount": 774, "flags": [], "flagCount": 0}, {"npi": "1104368315", "name": "Ozark Center", "specialty": "Community/Behavioral Health", "city": "Joplin", "state": "MO", "totalPaid": 165605248.04, "totalClaims": 1759173, "totalBenes": 515796, "procCount": 42, "flags": [], "flagCount": 0}, {"npi": "1750767802", "name": "Adj Fi Inc.", "specialty": "Home Health", "city": "New York", "state": "NY", "totalPaid": 165294407.09, "totalClaims": 1243868, "totalBenes": 53147, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1255719514", "name": "Marks Homecare Cdpap, LLC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 165278758.45, "totalClaims": 1198354, "totalBenes": 70166, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1851569834", "name": "Normal Life of Georgia", "specialty": "Community/Behavioral Health", "city": "Atlanta", "state": "GA", "totalPaid": 165121628.46, "totalClaims": 948518, "totalBenes": 47622, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1184791998", "name": "Bay Area Community Health", "specialty": "Clinic/Center  Federally Qualified Health Center (FQHC)", "city": "Fremont", "state": "CA", "totalPaid": 164548158.68, "totalClaims": 1210035, "totalBenes": 897864, "procCount": 181, "flags": [], "flagCount": 0}, {"npi": "1902944853", "name": "Serv Centers of New Jersey, INC", "specialty": "Community Based Residential Treatment Facility, Mental Illness", "city": "Trenton", "state": "NJ", "totalPaid": 164430832.68, "totalClaims": 733341, "totalBenes": 34431, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1730132515", "name": "Tufts Medical Center, Inc.", "specialty": "General Acute Care Hospital", "city": "Boston", "state": "MA", "totalPaid": 164344884.94, "totalClaims": 4021450, "totalBenes": 3410265, "procCount": 731, "flags": [], "flagCount": 0}, {"npi": "1972601193", "name": "Galax Treatment Center, LLC", "specialty": "Clinic/Center, Methadone Clinic", "city": "Galax", "state": "VA", "totalPaid": 164224163.48, "totalClaims": 371048, "totalBenes": 32441, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1376662536", "name": "Emmaus Homes Inc.", "specialty": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Saint Charles", "state": "MO", "totalPaid": 163985530.82, "totalClaims": 448673, "totalBenes": 35689, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1548367873", "name": "St. Barnabas Hospital", "specialty": "General Acute Care Hospital", "city": "Bronx", "state": "NY", "totalPaid": 163588496.89, "totalClaims": 2901521, "totalBenes": 1968185, "procCount": 622, "flags": [], "flagCount": 0}, {"npi": "1689744492", "name": "Stanislaus County Bhrs", "specialty": "Community/Behavioral Health", "city": "Modesto", "state": "CA", "totalPaid": 163521232.6, "totalClaims": 877310, "totalBenes": 302893, "procCount": 36, "flags": [], "flagCount": 0}, {"npi": "1962457812", "name": "Beverly Radiology Medical Group III", "specialty": "Radiology, Diagnostic Radiology", "city": "Los Angeles", "state": "CA", "totalPaid": 163380755.63, "totalClaims": 3146832, "totalBenes": 2966420, "procCount": 201, "flags": [], "flagCount": 0}, {"npi": "1619007630", "name": "Agespan Inc.", "specialty": "Case Management", "city": "Lawrence", "state": "MA", "totalPaid": 163355434.46, "totalClaims": 1333642, "totalBenes": 415123, "procCount": 28, "flags": [], "flagCount": 0}, {"npi": "1760426969", "name": "Saint Mary's Hospital, Inc.", "specialty": "General Acute Care Hospital", "city": "Waterbury", "state": "CT", "totalPaid": 163267654.42, "totalClaims": 4906079, "totalBenes": 4174868, "procCount": 591, "flags": [], "flagCount": 0}, {"npi": "1518998699", "name": "United Health Services Hospitals, Inc.", "specialty": "General Acute Care Hospital", "city": "Binghamton", "state": "NY", "totalPaid": 163202795.36, "totalClaims": 2757807, "totalBenes": 2226105, "procCount": 661, "flags": [], "flagCount": 0}, {"npi": "1003147588", "name": "Carepeople Home Health, INC", "specialty": "Hospice Care, Community Based", "city": "Centreville", "state": "VA", "totalPaid": 163114617.51, "totalClaims": 1129821, "totalBenes": 65181, "procCount": 10, "flags": [], "flagCount": 0}, {"npi": "1467517235", "name": "The William W Backus Hospital", "specialty": "Clinic/Center, Emergency Care", "city": "Norwich", "state": "CT", "totalPaid": 163006007.02, "totalClaims": 3316330, "totalBenes": 2328964, "procCount": 531, "flags": [], "flagCount": 0}, {"npi": "1891989794", "name": "Resource Center for Independent Living", "specialty": "Clinic/Center, Adult Day Care", "city": "Utica", "state": "NY", "totalPaid": 162868017.86, "totalClaims": 1088484, "totalBenes": 57795, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1609892280", "name": "Helio Health Inc.", "specialty": "Substance Abuse Rehabilitation Facility", "city": "Syracuse", "state": "NY", "totalPaid": 162855889.13, "totalClaims": 1345505, "totalBenes": 316904, "procCount": 50, "flags": [], "flagCount": 0}, {"npi": "1689653305", "name": "William Beaumont Hospital", "specialty": "General Acute Care Hospital", "city": "Royal Oak", "state": "MI", "totalPaid": 162640384.53, "totalClaims": 6223420, "totalBenes": 5644054, "procCount": 842, "flags": [], "flagCount": 0}, {"npi": "1922112044", "name": "Phoenix Children's Hospital", "specialty": "Pediatrics", "city": "Phoenix", "state": "AZ", "totalPaid": 162374551.19, "totalClaims": 2756515, "totalBenes": 2449498, "procCount": 380, "flags": [], "flagCount": 0}, {"npi": "1366556227", "name": "Multicare Health System", "specialty": "Community/Behavioral Health", "city": "Tacoma", "state": "WA", "totalPaid": 162248215.52, "totalClaims": 6854549, "totalBenes": 5984702, "procCount": 792, "flags": [], "flagCount": 0}, {"npi": "1285826438", "name": "New York University", "specialty": "Anesthesiology", "city": "Boynton Beach", "state": "FL", "totalPaid": 162238283.82, "totalClaims": 2250697, "totalBenes": 2017727, "procCount": 438, "flags": [], "flagCount": 0}, {"npi": "1275504508", "name": "West Virginia University Medical Corporation", "specialty": "Anesthesiology", "city": "Morgantown", "state": "WV", "totalPaid": 162035289.64, "totalClaims": 3232843, "totalBenes": 2525655, "procCount": 666, "flags": [], "flagCount": 0}, {"npi": "1255364923", "name": "Chickasaw Nation Division of Health", "specialty": "General Acute Care Hospital", "city": "Ada", "state": "OK", "totalPaid": 161907573.08, "totalClaims": 293771, "totalBenes": 266044, "procCount": 14, "flags": [], "flagCount": 0}, {"npi": "1003961251", "name": "Children's Hospital & Research Center at Oakland", "specialty": "General Acute Care Hospital", "city": "Oakland", "state": "CA", "totalPaid": 161812686.87, "totalClaims": 2536928, "totalBenes": 2123587, "procCount": 610, "flags": [], "flagCount": 0}, {"npi": "1336119478", "name": "Community Health Network, INC", "specialty": "General Acute Care Hospital", "city": "Indianapolis", "state": "IN", "totalPaid": 161731841.91, "totalClaims": 2522106, "totalBenes": 1831780, "procCount": 210, "flags": [], "flagCount": 0}, {"npi": "1407998842", "name": "Spectrum for Living Development, Inc.", "specialty": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child", "city": "River Vale", "state": "NJ", "totalPaid": 161692388.66, "totalClaims": 538357, "totalBenes": 30089, "procCount": 9, "flags": [], "flagCount": 0}, {"npi": "1053363119", "name": "Providence Health & Services Washington", "specialty": "General Acute Care Hospital", "city": "Anchorage", "state": "AK", "totalPaid": 161453834.12, "totalClaims": 2296473, "totalBenes": 1738858, "procCount": 508, "flags": [], "flagCount": 0}, {"npi": "1043371826", "name": "Nextcare Arizona LLC", "specialty": "Clinic/Center, Urgent Care", "city": "Tempe", "state": "AZ", "totalPaid": 161278500.02, "totalClaims": 1686116, "totalBenes": 1611415, "procCount": 39, "flags": [], "flagCount": 0}, {"npi": "1275683666", "name": "Hope Community Resources INC", "specialty": "Day Training, Developmentally Disabled Services", "city": "Anchorage", "state": "AK", "totalPaid": 161049967.53, "totalClaims": 627742, "totalBenes": 38704, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1578510137", "name": "First Primary Home Care, INC", "specialty": "Hospice Care, Community Based", "city": "Harlingen", "state": "TX", "totalPaid": 160955316.39, "totalClaims": 2630844, "totalBenes": 120975, "procCount": 17, "flags": [], "flagCount": 0}, {"npi": "1861675506", "name": "Texas Children's Physician Group", "specialty": "Pediatrics", "city": "Houston", "state": "TX", "totalPaid": 160810791.04, "totalClaims": 2513595, "totalBenes": 2222598, "procCount": 343, "flags": [], "flagCount": 0}, {"npi": "1063431286", "name": "Brockton Hospital, Inc.", "specialty": "General Acute Care Hospital", "city": "Brockton", "state": "MA", "totalPaid": 160743521.77, "totalClaims": 3609047, "totalBenes": 3063697, "procCount": 543, "flags": [], "flagCount": 0}, {"npi": "1023230695", "name": "Bestself Behavioral Health, Inc.", "specialty": "Social Worker", "city": "Buffalo", "state": "NY", "totalPaid": 160588164.65, "totalClaims": 1443039, "totalBenes": 503484, "procCount": 16, "flags": [], "flagCount": 0}, {"npi": "1073561825", "name": "Optum Women's and Children's Health, LLC", "specialty": "Home Health", "city": "Marietta", "state": "GA", "totalPaid": 160438332.94, "totalClaims": 636803, "totalBenes": 122585, "procCount": 28, "flags": [], "flagCount": 0}, {"npi": "1154786846", "name": "Neighborhood Healthcare", "specialty": "Clinic/Center, Federally Qualified Health Center (FQHC)", "city": "Hemet", "state": "CA", "totalPaid": 160418317.36, "totalClaims": 931794, "totalBenes": 760631, "procCount": 65, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1285016758", "name": "Topcare Medical Group INC", "specialty": "Pediatrics", "city": "Dallas", "state": "TX", "totalPaid": 160363652.12, "totalClaims": 8433773, "totalBenes": 6901976, "procCount": 187, "flags": [], "flagCount": 0}, {"npi": "1427063270", "name": "New York City Health and Hospitals Corporation", "specialty": "Internal Medicine", "city": "Bronx", "state": "NY", "totalPaid": 160323580.5, "totalClaims": 3954456, "totalBenes": 3464656, "procCount": 709, "flags": [], "flagCount": 0}, {"npi": "1437781499", "name": "State of Missouri", "specialty": "Rehabilitation Counselor", "city": "Jefferson City", "state": "MO", "totalPaid": 160213995.65, "totalClaims": 257466, "totalBenes": 57961, "procCount": 3, "flags": ["unusual_cost_per_claim|spending_spike"], "flagCount": 1}, {"npi": "1407804669", "name": "The Lowell General Hospital", "specialty": "Pharmacy, Institutional Pharmacy", "city": "Lowell", "state": "MA", "totalPaid": 159906582.74, "totalClaims": 4669409, "totalBenes": 4068559, "procCount": 619, "flags": [], "flagCount": 0}, {"npi": "1043554348", "name": "Genesee Health System", "specialty": "Community/Behavioral Health", "city": "Flint", "state": "MI", "totalPaid": 159875732.03, "totalClaims": 864829, "totalBenes": 405795, "procCount": 65, "flags": [], "flagCount": 0}, {"npi": "1487031092", "name": "Open Door NY Home Care Service", "specialty": "Home Health", "city": "Staten Island", "state": "NY", "totalPaid": 159746093.6, "totalClaims": 1162961, "totalBenes": 48442, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1871546648", "name": "Caring Professional Services INC", "specialty": "Home Health", "city": "Hialeah", "state": "FL", "totalPaid": 159685704.68, "totalClaims": 5135777, "totalBenes": 237499, "procCount": 12, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1215021019", "name": "Creative Networks, L.l.c.", "specialty": "Case Management", "city": "Phoenix", "state": "AZ", "totalPaid": 159682964.84, "totalClaims": 1683116, "totalBenes": 89136, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1023088168", "name": "Henry Ford Health St. John Hospital", "specialty": "Clinic/Center, Ambulatory Surgical", "city": "Chicago", "state": "IL", "totalPaid": 159405512.65, "totalClaims": 6873326, "totalBenes": 6366158, "procCount": 752, "flags": [], "flagCount": 0}, {"npi": "1194769497", "name": "Clinical Pathology Laboratories, Inc.", "specialty": "Clinical Medical Laboratory", "city": "Austin", "state": "TX", "totalPaid": 159397303.23, "totalClaims": 17848189, "totalBenes": 16105997, "procCount": 496, "flags": [], "flagCount": 0}, {"npi": "1073688354", "name": "Miami Valley Hospital", "specialty": "General Acute Care Hospital", "city": "Dayton", "state": "OH", "totalPaid": 159264363.63, "totalClaims": 3581941, "totalBenes": 2493502, "procCount": 575, "flags": [], "flagCount": 0}, {"npi": "1790789147", "name": "Eastern Maine Medical Center", "specialty": "General Acute Care Hospital", "city": "Bangor", "state": "ME", "totalPaid": 159203765.57, "totalClaims": 3344045, "totalBenes": 2750199, "procCount": 888, "flags": [], "flagCount": 0}, {"npi": "1497136592", "name": "The Arc of Essex County, INC", "specialty": "Respite Care", "city": "Livingston", "state": "NJ", "totalPaid": 158917527.21, "totalClaims": 649871, "totalBenes": 42174, "procCount": 8, "flags": [], "flagCount": 0}, {"npi": "1336467166", "name": "Alamo Consumer Direct, LLC", "specialty": "Supports Brokerage", "city": "Austin", "state": "TX", "totalPaid": 158757504.06, "totalClaims": 2571202, "totalBenes": 186366, "procCount": 29, "flags": [], "flagCount": 0}, {"npi": "1629154455", "name": "Family Home Care Services of Brooklyn & Queens, Inc.", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 158695592.13, "totalClaims": 692473, "totalBenes": 29570, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1003360397", "name": "Carepro of NY INC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 158587823.73, "totalClaims": 883496, "totalBenes": 42029, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1770826679", "name": "Agape Health Management INC", "specialty": "Home Health", "city": "Alexandria", "state": "VA", "totalPaid": 158463831.51, "totalClaims": 1003220, "totalBenes": 52053, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1336361427", "name": "Universal Mental Health Services Inc.", "specialty": "Community/Behavioral Health", "city": "Lenoir", "state": "NC", "totalPaid": 158120710.59, "totalClaims": 1038893, "totalBenes": 56534, "procCount": 21, "flags": [], "flagCount": 0}, {"npi": "1376873380", "name": "Regency Health Care, INC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 158059108.83, "totalClaims": 1039742, "totalBenes": 51184, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1639160708", "name": "180 Medical INC", "specialty": "Durable Medical Equipment & Medical Supplies, Customized Equipment", "city": "Oklahoma City", "state": "OK", "totalPaid": 157911905.86, "totalClaims": 1487782, "totalBenes": 1319713, "procCount": 106, "flags": [], "flagCount": 0}, {"npi": "1255334173", "name": "Froedtert Memorial Lutheran Hospital, Inc.", "specialty": "Clinic/Center, Radiology", "city": "Milwaukee", "state": "WI", "totalPaid": 157851735.91, "totalClaims": 5378548, "totalBenes": 4062694, "procCount": 986, "flags": [], "flagCount": 0}, {"npi": "1144420670", "name": "Broadway Respite and Home Care, LLC", "specialty": "Home Health", "city": "Fair Lawn", "state": "NJ", "totalPaid": 157625927.71, "totalClaims": 1876501, "totalBenes": 90945, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1952364747", "name": "Centro DE Salud DE La Comunidad DE San Ysidro, Inc.", "specialty": "Clinic/Center, Federally Qualified Health Center (FQHC)", "city": "San Ysidro", "state": "CA", "totalPaid": 157264167.89, "totalClaims": 3140188, "totalBenes": 2562654, "procCount": 249, "flags": [], "flagCount": 0}, {"npi": "1689783672", "name": "St Clair County Community Mental Health Authority", "specialty": "Community/Behavioral Health", "city": "Port Huron", "state": "MI", "totalPaid": 157175590.49, "totalClaims": 1092108, "totalBenes": 512859, "procCount": 57, "flags": [], "flagCount": 0}, {"npi": "1134264948", "name": "Riseboro Homecare INC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 157130280.28, "totalClaims": 710965, "totalBenes": 31906, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1376663567", "name": "Center for Disability Rights, INC", "specialty": "Community/Behavioral Health", "city": "Rochester", "state": "NY", "totalPaid": 156872692.22, "totalClaims": 1009614, "totalBenes": 54189, "procCount": 1, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1902901333", "name": "Clara Maass Medical Center", "specialty": "General Acute Care Hospital", "city": "Belleville", "state": "NJ", "totalPaid": 156839691.3, "totalClaims": 2160558, "totalBenes": 1787510, "procCount": 401, "flags": [], "flagCount": 0}, {"npi": "1043397292", "name": "University Hospitals Cleveland Medical Center", "specialty": "General Acute Care Hospital", "city": "Cleveland", "state": "OH", "totalPaid": 156831349.45, "totalClaims": 2733531, "totalBenes": 2007655, "procCount": 805, "flags": [], "flagCount": 0}, {"npi": "1487727715", "name": "The First Chinese Presbyterian Community Affairs Home Attendant Corp.", "specialty": "Home Health", "city": "New York", "state": "NY", "totalPaid": 156611696.62, "totalClaims": 736134, "totalBenes": 33668, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1376980409", "name": "Consumer Direct for Florida", "specialty": "Case Management", "city": "Sunrise", "state": "FL", "totalPaid": 156501809.76, "totalClaims": 3713169, "totalBenes": 313541, "procCount": 8, "flags": [], "flagCount": 0}, {"npi": "1023489911", "name": "A-plus Care Hhc", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 156140672.41, "totalClaims": 1011311, "totalBenes": 47906, "procCount": 4, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1922260892", "name": "Intergen Health, LLC", "specialty": "Home Health", "city": "Bronx", "state": "NY", "totalPaid": 156067580.96, "totalClaims": 1145802, "totalBenes": 59860, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1134200942", "name": "Acr Homes, Inc.", "specialty": "Custodial Care Facility, Adult Care Home", "city": "Roseville", "state": "MN", "totalPaid": 156043354.26, "totalClaims": 386429, "totalBenes": 13152, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1053384776", "name": "Ahs Hospital Corp.", "specialty": "General Acute Care Hospital", "city": "Morristown", "state": "NJ", "totalPaid": 155866810.14, "totalClaims": 2444013, "totalBenes": 1821152, "procCount": 626, "flags": [], "flagCount": 0}, {"npi": "1427590371", "name": "Bjc Behavioral Health", "specialty": "Community/Behavioral Health", "city": "Saint Louis", "state": "MO", "totalPaid": 155549118.09, "totalClaims": 1318300, "totalBenes": 485519, "procCount": 24, "flags": ["instant_high_volume"], "flagCount": 1}, {"npi": "1902286214", "name": "The Arc of Union County", "specialty": "Day Training, Developmentally Disabled Services", "city": "Springfield", "state": "NJ", "totalPaid": 155519096.79, "totalClaims": 459073, "totalBenes": 26486, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1700961646", "name": "Chrysalis Center LLC", "specialty": "Community/Behavioral Health", "city": "Fort Lauderdale", "state": "FL", "totalPaid": 155274211.57, "totalClaims": 2970772, "totalBenes": 1041753, "procCount": 15, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1871906032", "name": "Effective Home Care L.l.c.", "specialty": "Home Health", "city": "Astoria", "state": "NY", "totalPaid": 155187562.63, "totalClaims": 1060897, "totalBenes": 43576, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1184769069", "name": "Nonotuck Resource Associates, INC", "specialty": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Florence", "state": "MA", "totalPaid": 154955729.35, "totalClaims": 1776447, "totalBenes": 67200, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1194776757", "name": "Arkansas Childrens Hospital", "specialty": "Clinic/Center, Critical Access Hospital", "city": "Little Rock", "state": "AR", "totalPaid": 154954168.98, "totalClaims": 3793084, "totalBenes": 3062645, "procCount": 630, "flags": [], "flagCount": 0}, {"npi": "1902968266", "name": "Rem Iowa Community Services Inc.", "specialty": "Community Based Residential Treatment Facility  Intellectual and/or Developmental Disabilities", "city": "Hiawatha", "state": "IA", "totalPaid": 154946648.04, "totalClaims": 569758, "totalBenes": 20094, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1811289150", "name": "California Psychcare, Inc.", "specialty": "Behavior Analyst", "city": "Van Nuys", "state": "CA", "totalPaid": 154847853.25, "totalClaims": 1534667, "totalBenes": 248455, "procCount": 15, "flags": [], "flagCount": 0}, {"npi": "1174914477", "name": "Prestige Lhcsa Management, INC", "specialty": "Home Health", "city": "Bronx", "state": "NY", "totalPaid": 154670932.69, "totalClaims": 1111710, "totalBenes": 61306, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1245468727", "name": "Eak Good Neighbor Properties", "specialty": "Day Training, Developmentally Disabled Services", "city": "Mount Vernon", "state": "TX", "totalPaid": 154624549.35, "totalClaims": 1894301, "totalBenes": 197270, "procCount": 23, "flags": [], "flagCount": 0}, {"npi": "1295898393", "name": "Alliance Healthcare Services", "specialty": "Community/Behavioral Health", "city": "Memphis", "state": "TN", "totalPaid": 154591314.72, "totalClaims": 1577534, "totalBenes": 917448, "procCount": 44, "flags": [], "flagCount": 0}, {"npi": "1093873382", "name": "Trillium Family Services Inc.", "specialty": "Residential Treatment Facility  Emotionally Disturbed Children", "city": "Portland", "state": "OR", "totalPaid": 154478557.87, "totalClaims": 188219, "totalBenes": 45608, "procCount": 21, "flags": [], "flagCount": 0}, {"npi": "1134297328", "name": "United Cerebral Palsy of Georgia Inc.", "specialty": "Durable Medical Equipment & Medical Supplies", "city": "Atlanta", "state": "GA", "totalPaid": 154302816.4, "totalClaims": 129757, "totalBenes": 54578, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1982102109", "name": "Spero Health of Kentucky LLC", "specialty": "Family Medicine  Addiction Medicine", "city": "Danville", "state": "KY", "totalPaid": 154247260.77, "totalClaims": 2613987, "totalBenes": 1691382, "procCount": 29, "flags": [], "flagCount": 0}, {"npi": "1063599405", "name": "R.a.i.n. Home Attendant Services, Inc.", "specialty": "Home Health", "city": "Bronx", "state": "NY", "totalPaid": 153874292.24, "totalClaims": 785403, "totalBenes": 34662, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1184758310", "name": "Springwell", "specialty": "Case Management", "city": "Watertown", "state": "MA", "totalPaid": 153840065.58, "totalClaims": 512436, "totalBenes": 127761, "procCount": 24, "flags": [], "flagCount": 0}, {"npi": "1255496220", "name": "Rscr West Virginia Inc.", "specialty": "Clinic/Center  Developmental Disabilities", "city": "Parkersburg", "state": "WV", "totalPaid": 153607409.61, "totalClaims": 114449, "totalBenes": 73763, "procCount": 12, "flags": [], "flagCount": 0}, {"npi": "1235255597", "name": "Commonwealth of Massachusetts", "specialty": "Community/Behavioral Health", "city": "Boston", "state": "MA", "totalPaid": 153570471.03, "totalClaims": 446495, "totalBenes": 112519, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1104368703", "name": "Mark Twain Association for Mental Health, INC", "specialty": "Community/Behavioral Health", "city": "Hannibal", "state": "MO", "totalPaid": 153439933.87, "totalClaims": 1339864, "totalBenes": 367628, "procCount": 29, "flags": [], "flagCount": 0}, {"npi": "1639132442", "name": "County of Washtenaw", "specialty": "Clinic/Center, Mental Health (Including Community Mental Health Center)", "city": "Ypsilanti", "state": "MI", "totalPaid": 153316633.78, "totalClaims": 817410, "totalBenes": 429839, "procCount": 42, "flags": [], "flagCount": 0}, {"npi": "1689608150", "name": "University of California Irvine", "specialty": "General Acute Care Hospital", "city": "Orange", "state": "CA", "totalPaid": 153055986.72, "totalClaims": 4108074, "totalBenes": 2998472, "procCount": 879, "flags": [], "flagCount": 0}, {"npi": "1154549921", "name": "Department of Mental Health", "specialty": "Community/Behavioral Health", "city": "Northampton", "state": "MA", "totalPaid": 152980553.17, "totalClaims": 366343, "totalBenes": 90594, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1700072543", "name": "My Community Dental Centers INC", "specialty": "Dentist, Dental Public Health", "city": "Petoskey", "state": "MI", "totalPaid": 152835976.47, "totalClaims": 2983592, "totalBenes": 2231047, "procCount": 91, "flags": [], "flagCount": 0}, {"npi": "1427114099", "name": "Johns Hopkins All Children's Hospital INC", "specialty": "General Acute Care Hospital  Children", "city": "St Petersburg", "state": "FL", "totalPaid": 152824919.16, "totalClaims": 1429913, "totalBenes": 1088785, "procCount": 540, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1932123247", "name": "Dallas County Hospital District", "specialty": "Clinic/Center, Ambulatory Surgical", "city": "Dallas", "state": "TX", "totalPaid": 152600082.81, "totalClaims": 3288824, "totalBenes": 2866067, "procCount": 610, "flags": [], "flagCount": 0}, {"npi": "1538151428", "name": "Ochsner Clinic LLC", "specialty": "Surgery", "city": "New Orleans", "state": "LA", "totalPaid": 152466937.41, "totalClaims": 5935206, "totalBenes": 5042421, "procCount": 477, "flags": [], "flagCount": 0}, {"npi": "1447281936", "name": "Family Health Centers of San Diego, INC", "specialty": "Clinic/Center, Federally Qualified Health Center (FQHC)", "city": "San Diego", "state": "CA", "totalPaid": 152448324.41, "totalClaims": 7054107, "totalBenes": 6549533, "procCount": 421, "flags": [], "flagCount": 0}, {"npi": "1184878274", "name": "Ahava Medical and Rehabilitation Center, LLC", "specialty": "Rehabilitation Practitioner", "city": "Brooklyn", "state": "NY", "totalPaid": 152079113.4, "totalClaims": 1780252, "totalBenes": 916025, "procCount": 319, "flags": [], "flagCount": 0}, {"npi": "1972507580", "name": "Kadlec Regional Medical Center", "specialty": "General Acute Care Hospital", "city": "Richland", "state": "WA", "totalPaid": 151598939.44, "totalClaims": 3639406, "totalBenes": 3056908, "procCount": 703, "flags": [], "flagCount": 0}, {"npi": "1407854771", "name": "The Toledo Hospital", "specialty": "Pediatrics", "city": "Toledo", "state": "OH", "totalPaid": 151223641.36, "totalClaims": 3399237, "totalBenes": 2730713, "procCount": 777, "flags": [], "flagCount": 0}, {"npi": "1003914946", "name": "County of Muskegon", "specialty": "Clinic/Center, Mental Health (Including Community Mental Health Center)", "city": "Muskegon", "state": "MI", "totalPaid": 151113377.4, "totalClaims": 714327, "totalBenes": 386184, "procCount": 78, "flags": [], "flagCount": 0}, {"npi": "1104819366", "name": "Children's Hospital", "specialty": "General Acute Care Hospital  Children", "city": "New Orleans", "state": "LA", "totalPaid": 150926038.28, "totalClaims": 1583325, "totalBenes": 1381104, "procCount": 336, "flags": [], "flagCount": 0}, {"npi": "1548226988", "name": "University of Texas Medical Branch at Galveston", "specialty": "Clinic/Center, Ambulatory Surgical", "city": "Galveston", "state": "TX", "totalPaid": 150326465.88, "totalClaims": 2827894, "totalBenes": 2496006, "procCount": 429, "flags": [], "flagCount": 0}, {"npi": "1295765261", "name": "Berkshire Medical Center, INC", "specialty": "General Acute Care Hospital", "city": "Pittsfield", "state": "MA", "totalPaid": 150130540.82, "totalClaims": 3855758, "totalBenes": 3268118, "procCount": 688, "flags": [], "flagCount": 0}, {"npi": "1609922194", "name": "Fraser Child and Family Center", "specialty": "Clinic/Center, Mental Health (Including Community Mental Health Center)", "city": "Minneapolis", "state": "MN", "totalPaid": 149835856.16, "totalClaims": 1159751, "totalBenes": 364687, "procCount": 37, "flags": [], "flagCount": 0}, {"npi": "1255330825", "name": "Edwards Health Care Services, Inc.", "specialty": "Durable Medical Equipment & Medical Supplies", "city": "Hudson", "state": "OH", "totalPaid": 149693512.54, "totalClaims": 1008148, "totalBenes": 835836, "procCount": 28, "flags": [], "flagCount": 0}, {"npi": "1740376292", "name": "New Mexico Consumer Direct Personal Care LLC", "specialty": "Home Health", "city": "Albuquerque", "state": "NM", "totalPaid": 149619585.2, "totalClaims": 542300, "totalBenes": 171060, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1548431570", "name": "Heart to Heart Health Care Services, LLC", "specialty": "Home Health", "city": "East Orange", "state": "NJ", "totalPaid": 149589915.06, "totalClaims": 465611, "totalBenes": 20846, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1992850952", "name": "Black Hills Works INC", "specialty": "Day Training  Developmentally Disabled Services", "city": "Rapid City", "state": "SD", "totalPaid": 149570135.24, "totalClaims": 441668, "totalBenes": 117467, "procCount": 17, "flags": [], "flagCount": 0}, {"npi": "1841327673", "name": "Trivium Life Services", "specialty": "Day Training, Developmentally Disabled Services", "city": "Council Bluffs", "state": "IA", "totalPaid": 149214844.98, "totalClaims": 836359, "totalBenes": 53327, "procCount": 9, "flags": [], "flagCount": 0}, {"npi": "1063568764", "name": "Jhc Operations LLC", "specialty": "Home Health", "city": "Mount Vernon", "state": "TX", "totalPaid": 148946289.2, "totalClaims": 2819060, "totalBenes": 117853, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1285613612", "name": "Owensboro Health INC", "specialty": "General Acute Care Hospital", "city": "Owensboro", "state": "KY", "totalPaid": 148833101.28, "totalClaims": 3299869, "totalBenes": 2440904, "procCount": 597, "flags": [], "flagCount": 0}, {"npi": "1548317852", "name": "Lakes Region Community Services Council", "specialty": "Early Intervention Provider Agency", "city": "Laconia", "state": "NH", "totalPaid": 148794561.71, "totalClaims": 708435, "totalBenes": 85752, "procCount": 13, "flags": [], "flagCount": 0}, {"npi": "1518068071", "name": "Northern Lakes Community Mental Health Authority", "specialty": "Occupational Therapist", "city": "Traverse City", "state": "MI", "totalPaid": 148647272.08, "totalClaims": 684682, "totalBenes": 285101, "procCount": 57, "flags": [], "flagCount": 0}, {"npi": "1609909175", "name": "Summit Home Health Care", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 148501836.98, "totalClaims": 826840, "totalBenes": 44737, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1982048138", "name": "Advance Home Care LLC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 148438370.48, "totalClaims": 933038, "totalBenes": 40122, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1962476259", "name": "Classic Optical Laboratories, Inc.", "specialty": "Technician/Technologist, Ocularist", "city": "Youngstown", "state": "OH", "totalPaid": 148128086.68, "totalClaims": 18553215, "totalBenes": 14952742, "procCount": 65, "flags": [], "flagCount": 0}, {"npi": "1962793547", "name": "Phoenix Home Care, LLC", "specialty": "Chore Provider", "city": "Springfield", "state": "MO", "totalPaid": 148060842.68, "totalClaims": 2331920, "totalBenes": 209879, "procCount": 9, "flags": [], "flagCount": 0}, {"npi": "1952690463", "name": "Barrio Comprehensive Family Health Care Center, Inc.", "specialty": "Clinic/Center, Multi-Specialty", "city": "San Antonio", "state": "TX", "totalPaid": 148046905.35, "totalClaims": 2296231, "totalBenes": 1883823, "procCount": 155, "flags": [], "flagCount": 0}, {"npi": "1356427397", "name": "Hammer Residences, Inc.", "specialty": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Wayzata", "state": "MN", "totalPaid": 147838997.64, "totalClaims": 859909, "totalBenes": 79758, "procCount": 8, "flags": [], "flagCount": 0}, {"npi": "1831265115", "name": "Clinical & Support Options INC", "specialty": "Community/Behavioral Health", "city": "Greenfield", "state": "MA", "totalPaid": 147833759.34, "totalClaims": 1587375, "totalBenes": 577667, "procCount": 40, "flags": [], "flagCount": 0}, {"npi": "1386023976", "name": "The Arc Ocean County Chapter, INC", "specialty": "Day Training, Developmentally Disabled Services", "city": "Lakewood", "state": "NJ", "totalPaid": 147496969.9, "totalClaims": 550285, "totalBenes": 44819, "procCount": 10, "flags": [], "flagCount": 0}, {"npi": "1447618061", "name": "Department of Intellectual and Developmental Disabilities, State of Tn", "specialty": "Public Health or Welfare", "city": "Nashville", "state": "TN", "totalPaid": 147414628.74, "totalClaims": 1441015, "totalBenes": 89946, "procCount": 13, "flags": [], "flagCount": 0}, {"npi": "1265954630", "name": "Allstar Homecare Fi, Inc.", "specialty": "Technician, Personal Care Attendant", "city": "Brooklyn", "state": "NY", "totalPaid": 147409518.25, "totalClaims": 1192137, "totalBenes": 55663, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1073633376", "name": "Living Innovations Support Services LLC", "specialty": "Day Training  Developmentally Disabled Services", "city": "Dover", "state": "NH", "totalPaid": 147298338.61, "totalClaims": 366668, "totalBenes": 77289, "procCount": 15, "flags": [], "flagCount": 0}, {"npi": "1659352276", "name": "Laboratory Corporation of America", "specialty": "Clinical Medical Laboratory", "city": "San Diego", "state": "CA", "totalPaid": 147141937.29, "totalClaims": 64360026, "totalBenes": 62444305, "procCount": 647, "flags": [], "flagCount": 0}, {"npi": "1346479169", "name": "Myriad Women's Health, Inc.", "specialty": "Clinical Medical Laboratory", "city": "South San Francisco", "state": "CA", "totalPaid": 146977669.0, "totalClaims": 1284222, "totalBenes": 1117254, "procCount": 37, "flags": [], "flagCount": 0}, {"npi": "1063426377", "name": "New York City Health and Hospitals Corporation", "specialty": "Internal Medicine", "city": "Elmhurst", "state": "NY", "totalPaid": 146568057.88, "totalClaims": 3455689, "totalBenes": 2849191, "procCount": 610, "flags": [], "flagCount": 0}, {"npi": "1669667150", "name": "Alegre Home Health Care LLC", "specialty": "Nursing Care", "city": "Mission", "state": "TX", "totalPaid": 146507171.86, "totalClaims": 2514752, "totalBenes": 111581, "procCount": 9, "flags": [], "flagCount": 0}, {"npi": "1629418835", "name": "Marquis Home Care, LLC", "specialty": "Registered Nurse, Home Health", "city": "Spring Valley", "state": "NY", "totalPaid": 146505517.99, "totalClaims": 1279141, "totalBenes": 62548, "procCount": 10, "flags": [], "flagCount": 0}, {"npi": "1801927645", "name": "Stavros Center for Independent Living, Inc.", "specialty": "Case Management", "city": "Amherst", "state": "MA", "totalPaid": 146352462.47, "totalClaims": 4493816, "totalBenes": 797385, "procCount": 8, "flags": [], "flagCount": 0}, {"npi": "1679601645", "name": "Statewide Healthcare Services, INC", "specialty": "Home Health", "city": "Jackson", "state": "MS", "totalPaid": 146044054.46, "totalClaims": 2017158, "totalBenes": 143973, "procCount": 1, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1821036807", "name": "Lenox Hill Radiology & Medical Imaging Associates, PC", "specialty": "Radiology, Body Imaging", "city": "New York", "state": "NY", "totalPaid": 145854205.89, "totalClaims": 1734785, "totalBenes": 1638007, "procCount": 139, "flags": [], "flagCount": 0}, {"npi": "1336435031", "name": "West Bay Residential Services Inc.", "specialty": "Day Training  Developmentally Disabled Services", "city": "Warwick", "state": "RI", "totalPaid": 145845268.78, "totalClaims": 70223, "totalBenes": 49464, "procCount": 12, "flags": [], "flagCount": 0}, {"npi": "1326031022", "name": "White Deer Run LLC", "specialty": "Community/Behavioral Health", "city": "Allenwood", "state": "PA", "totalPaid": 145825890.74, "totalClaims": 463838, "totalBenes": 46012, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1447472980", "name": "Newark Public Schools", "specialty": "Local Education Agency (LEA)", "city": "Newark", "state": "NJ", "totalPaid": 145809421.44, "totalClaims": 1037927, "totalBenes": 235756, "procCount": 14, "flags": [], "flagCount": 0}, {"npi": "1407244304", "name": "Integrated Community Services, Inc.", "specialty": "Clinic/Center, Developmental Disabilities", "city": "Washington", "state": "DC", "totalPaid": 145741640.15, "totalClaims": 885873, "totalBenes": 51313, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1891134318", "name": "Ideal Home Health Inc.", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 145667460.8, "totalClaims": 966738, "totalBenes": 42690, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1780985010", "name": "Harbor Care LLC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 145665969.15, "totalClaims": 791104, "totalBenes": 37116, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1972678266", "name": "Rem South Central, Inc.", "specialty": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Willmar", "state": "MN", "totalPaid": 145639967.97, "totalClaims": 617325, "totalBenes": 23320, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1912080482", "name": "Resource Center for Independent Living, INC", "specialty": "Home Health", "city": "Osage City", "state": "KS", "totalPaid": 145535468.73, "totalClaims": 1668137, "totalBenes": 158005, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1043380330", "name": "Arrowhead Regional Medical Center", "specialty": "General Acute Care Hospital", "city": "Colton", "state": "CA", "totalPaid": 145443135.71, "totalClaims": 7250760, "totalBenes": 6120802, "procCount": 823, "flags": [], "flagCount": 0}, {"npi": "1053342816", "name": "Southern Ohio Medical Center", "specialty": "Clinical Medical Laboratory", "city": "Portsmouth", "state": "OH", "totalPaid": 145263355.12, "totalClaims": 3493646, "totalBenes": 2845092, "procCount": 648, "flags": [], "flagCount": 0}, {"npi": "1417005257", "name": "Reliance Community Care Partners", "specialty": "Case Management", "city": "Grand Rapids", "state": "MI", "totalPaid": 145211742.16, "totalClaims": 2426106, "totalBenes": 148716, "procCount": 18, "flags": [], "flagCount": 0}, {"npi": "1972583078", "name": "Tenderheart Health Outcomes, Inc.", "specialty": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition", "city": "Austin", "state": "TX", "totalPaid": 145154612.37, "totalClaims": 6705292, "totalBenes": 6598083, "procCount": 138, "flags": [], "flagCount": 0}, {"npi": "1134377781", "name": "Eurofins Diatherix Laboratories LLC", "specialty": "Clinical Medical Laboratory", "city": "Huntsville", "state": "AL", "totalPaid": 145138449.51, "totalClaims": 4714639, "totalBenes": 3642399, "procCount": 35, "flags": [], "flagCount": 0}, {"npi": "1710901939", "name": "Washington County Mental Health Services Inc.", "specialty": "Clinic/Center  Developmental Disabilities", "city": "Barre", "state": "VT", "totalPaid": 145015403.58, "totalClaims": 418286, "totalBenes": 53992, "procCount": 21, "flags": [], "flagCount": 0}, {"npi": "1114461704", "name": "Wengs Group NY INC", "specialty": "Home Health", "city": "New York", "state": "NY", "totalPaid": 144948891.91, "totalClaims": 1032817, "totalBenes": 40772, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1457321317", "name": "Palomar Health", "specialty": "General Acute Care Hospital", "city": "Escondido", "state": "CA", "totalPaid": 144138017.99, "totalClaims": 1459443, "totalBenes": 1207835, "procCount": 324, "flags": [], "flagCount": 0}, {"npi": "1205962883", "name": "Creative Works", "specialty": "Day Training  Developmentally Disabled Services", "city": "Westbrook", "state": "ME", "totalPaid": 144111253.96, "totalClaims": 105208, "totalBenes": 44719, "procCount": 8, "flags": [], "flagCount": 0}, {"npi": "1831363324", "name": "Life Patterns", "specialty": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child", "city": "Topeka", "state": "KS", "totalPaid": 144001449.89, "totalClaims": 1438200, "totalBenes": 151113, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1609848811", "name": "The Mental Health Center of Greater Manchester", "specialty": "Clinic/Center  Mental Health (Including Community Mental Health Center)", "city": "Manchester", "state": "NH", "totalPaid": 143867599.12, "totalClaims": 1086168, "totalBenes": 557039, "procCount": 30, "flags": [], "flagCount": 0}, {"npi": "1407228885", "name": "Helping U Homecare, Inc.", "specialty": "Home Health", "city": "New York", "state": "NY", "totalPaid": 143641484.16, "totalClaims": 593732, "totalBenes": 31232, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1760499545", "name": "Erie Family Health Center, INC", "specialty": "Clinic/Center, Federally Qualified Health Center (FQHC)", "city": "Chicago", "state": "IL", "totalPaid": 143562823.5, "totalClaims": 2804606, "totalBenes": 2252578, "procCount": 218, "flags": [], "flagCount": 0}, {"npi": "1821103821", "name": "Trilogy, Inc.", "specialty": "Clinic/Center, Community Health", "city": "Chicago", "state": "IL", "totalPaid": 143503639.11, "totalClaims": 1373957, "totalBenes": 272754, "procCount": 15, "flags": [], "flagCount": 0}, {"npi": "1184706566", "name": "Hope Haven INC", "specialty": "Nursing Facility/Intermediate Care Facility", "city": "Rock Valley", "state": "IA", "totalPaid": 143253649.36, "totalClaims": 902482, "totalBenes": 77287, "procCount": 23, "flags": [], "flagCount": 0}, {"npi": "1881837110", "name": "Area Agency on Aging 1-b", "specialty": "Case Management", "city": "Southfield", "state": "MI", "totalPaid": 143076884.41, "totalClaims": 1573517, "totalBenes": 124102, "procCount": 22, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1679504864", "name": "Kennebec Valley Mental Health Center", "specialty": "Clinic/Center  Mental Health (Including Community Mental Health Center)", "city": "Waterville", "state": "ME", "totalPaid": 143045510.57, "totalClaims": 887611, "totalBenes": 383320, "procCount": 29, "flags": [], "flagCount": 0}, {"npi": "1053584482", "name": "Empire City Laboratories, INC", "specialty": "Clinical Medical Laboratory", "city": "Brooklyn", "state": "NY", "totalPaid": 142978147.1, "totalClaims": 13619013, "totalBenes": 13219659, "procCount": 429, "flags": [], "flagCount": 0}, {"npi": "1518911304", "name": "North East Medical Services", "specialty": "Case Manager/Care Coordinator", "city": "San Francisco", "state": "CA", "totalPaid": 142955745.86, "totalClaims": 6069351, "totalBenes": 5123889, "procCount": 468, "flags": [], "flagCount": 0}, {"npi": "1760436216", "name": "Mainehealth", "specialty": "Emergency Medicine", "city": "Portland", "state": "ME", "totalPaid": 142715238.72, "totalClaims": 3045475, "totalBenes": 2482474, "procCount": 887, "flags": [], "flagCount": 0}, {"npi": "1346766805", "name": "Freedom Senior Share, LLC", "specialty": "In Home Supportive Care", "city": "Louisville", "state": "KY", "totalPaid": 142701384.11, "totalClaims": 1109021, "totalBenes": 65303, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1790742153", "name": "Rappahannock Area Community Services Board", "specialty": "Day Training, Developmentally Disabled Services", "city": "Fredericksburg", "state": "VA", "totalPaid": 142551699.14, "totalClaims": 613025, "totalBenes": 240038, "procCount": 43, "flags": [], "flagCount": 0}, {"npi": "1053366740", "name": "Byram Healthcare Centers, Inc.", "specialty": "Durable Medical Equipment & Medical Supplies", "city": "Downers Grove", "state": "IL", "totalPaid": 142283328.93, "totalClaims": 2656895, "totalBenes": 2312094, "procCount": 213, "flags": [], "flagCount": 0}, {"npi": "1811384100", "name": "Intergen Health, LLC", "specialty": "Home Health", "city": "Bronx", "state": "NY", "totalPaid": 142241262.22, "totalClaims": 1075083, "totalBenes": 52238, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1770583999", "name": "Trinitas Regional Medical Center", "specialty": "General Acute Care Hospital", "city": "Elizabeth", "state": "NJ", "totalPaid": 142211286.01, "totalClaims": 2307693, "totalBenes": 1842264, "procCount": 472, "flags": [], "flagCount": 0}, {"npi": "1902267479", "name": "Altamed Health Services Corp", "specialty": "Clinic/Center, Federally Qualified Health Center (FQHC)", "city": "South Gate", "state": "CA", "totalPaid": 141786981.68, "totalClaims": 1286493, "totalBenes": 960107, "procCount": 207, "flags": [], "flagCount": 0}, {"npi": "1811042856", "name": "Valucare, INC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 141763920.73, "totalClaims": 696670, "totalBenes": 30262, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1427058510", "name": "San Juan Regional Medical Center, Inc.", "specialty": "Audiologist", "city": "Farmington", "state": "NM", "totalPaid": 141456539.65, "totalClaims": 2275920, "totalBenes": 1897822, "procCount": 516, "flags": [], "flagCount": 0}, {"npi": "1619913449", "name": "Unilab Corporation", "specialty": "Clinical Medical Laboratory", "city": "Sacramento", "state": "CA", "totalPaid": 141236563.08, "totalClaims": 29528771, "totalBenes": 28015937, "procCount": 551, "flags": [], "flagCount": 0}, {"npi": "1316029549", "name": "Heritage Home Healthcare Services Inc.", "specialty": "Home Health", "city": "Albuquerque", "state": "NM", "totalPaid": 141183941.23, "totalClaims": 1383282, "totalBenes": 118067, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1801922620", "name": "Lake Cumberland Reg Mhmr Board Inc.", "specialty": "Community/Behavioral Health", "city": "Somerset", "state": "KY", "totalPaid": 140903668.76, "totalClaims": 899040, "totalBenes": 110278, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1841224870", "name": "Banner - University Medical Center Phoenix", "specialty": "Clinic/Center, Sleep Disorder Diagnostic", "city": "Phoenix", "state": "AZ", "totalPaid": 140846995.79, "totalClaims": 3763687, "totalBenes": 2684878, "procCount": 574, "flags": [], "flagCount": 0}, {"npi": "1609997311", "name": "Kid Success Inc.", "specialty": "Clinic/Center  Rehabilitation", "city": "Conway", "state": "AR", "totalPaid": 140724819.64, "totalClaims": 2345767, "totalBenes": 301159, "procCount": 31, "flags": [], "flagCount": 0}, {"npi": "1124127683", "name": "Arthur G James Cancer Hospital and Research Institute", "specialty": "Special Hospital", "city": "Columbus", "state": "OH", "totalPaid": 140711421.67, "totalClaims": 794957, "totalBenes": 504614, "procCount": 390, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1972579837", "name": "Wakemed", "specialty": "General Acute Care Hospital", "city": "Raleigh", "state": "NC", "totalPaid": 140710772.73, "totalClaims": 1484819, "totalBenes": 1346937, "procCount": 266, "flags": [], "flagCount": 0}, {"npi": "1881697381", "name": "Lake County Tribal Health Consortium Inc.", "specialty": "Clinic/Center  Federally Qualified Health Center (FQHC)", "city": "Lakeport", "state": "CA", "totalPaid": 140627796.77, "totalClaims": 374863, "totalBenes": 257169, "procCount": 82, "flags": [], "flagCount": 0}, {"npi": "1427003862", "name": "Aware INC", "specialty": "Behavior Analyst", "city": "Anaconda", "state": "MT", "totalPaid": 140399270.66, "totalClaims": 573442, "totalBenes": 95922, "procCount": 39, "flags": [], "flagCount": 0}, {"npi": "1891820668", "name": "Hopebridge, LLC", "specialty": "Assistant Behavior Analyst", "city": "Kokomo", "state": "IN", "totalPaid": 140377799.05, "totalClaims": 880718, "totalBenes": 145287, "procCount": 27, "flags": [], "flagCount": 0}, {"npi": "1154355188", "name": "Banner Thunderbird Medical Center", "specialty": "Community/Behavioral Health", "city": "Glendale", "state": "AZ", "totalPaid": 140259118.72, "totalClaims": 3378165, "totalBenes": 2496596, "procCount": 474, "flags": [], "flagCount": 0}, {"npi": "1356331425", "name": "Stamford Hospital", "specialty": "Hospitalist", "city": "Stamford", "state": "CT", "totalPaid": 139831900.53, "totalClaims": 4198195, "totalBenes": 3109375, "procCount": 598, "flags": [], "flagCount": 0}, {"npi": "A430617100", "name": "", "specialty": "", "city": "", "state": "", "totalPaid": 139780633.58, "totalClaims": 2208105, "totalBenes": 61830, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1346451796", "name": "Money Minders Plus LLC", "specialty": "Community Based Residential Treatment Facility  Intellectual and/or Developmental Disabilities", "city": "Garden City", "state": "MI", "totalPaid": 139565142.39, "totalClaims": 1478200, "totalBenes": 50539, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1023226412", "name": "United Jewish Council Home Attendant Service Corp", "specialty": "Home Health", "city": "New York", "state": "NY", "totalPaid": 139415479.65, "totalClaims": 735131, "totalBenes": 31868, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1295957561", "name": "Developmental Services of Sullivan County, Inc.", "specialty": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child", "city": "Claremont", "state": "NH", "totalPaid": 139331109.04, "totalClaims": 514564, "totalBenes": 58788, "procCount": 10, "flags": [], "flagCount": 0}, {"npi": "1427271378", "name": "Aurora Medical Group, Inc.", "specialty": "Internal Medicine", "city": "Milwaukee", "state": "WI", "totalPaid": 139243287.48, "totalClaims": 5067639, "totalBenes": 4355913, "procCount": 573, "flags": [], "flagCount": 0}, {"npi": "1265860803", "name": "Diya Care INC", "specialty": "Home Health", "city": "New Brunswick", "state": "NJ", "totalPaid": 139153769.49, "totalClaims": 2154361, "totalBenes": 81500, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1982781571", "name": "City of Phoenix Arizona", "specialty": "Emergency Medical Technician  Paramedic", "city": "Phoenix", "state": "AZ", "totalPaid": 138939254.68, "totalClaims": 792742, "totalBenes": 716767, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1437154010", "name": "Med Star Surgical & Breathing Equipment Inc.", "specialty": "Prosthetic/Orthotic Supplier", "city": "Bronx", "state": "NY", "totalPaid": 138917051.05, "totalClaims": 4675272, "totalBenes": 4594902, "procCount": 254, "flags": [], "flagCount": 0}, {"npi": "1740389154", "name": "Richmond Medical Center", "specialty": "Psychiatric Unit", "city": "Staten Island", "state": "NY", "totalPaid": 138853988.63, "totalClaims": 1319760, "totalBenes": 937170, "procCount": 310, "flags": [], "flagCount": 0}, {"npi": "1013181205", "name": "Tridia Hospice Care, LLC", "specialty": "Hospice Care, Community Based", "city": "Westerville", "state": "OH", "totalPaid": 138840949.2, "totalClaims": 798965, "totalBenes": 29589, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1417930892", "name": "Reedley Community Hospital", "specialty": "Clinic/Center, Rural Health", "city": "Hanford", "state": "CA", "totalPaid": 138656168.22, "totalClaims": 1366744, "totalBenes": 1117833, "procCount": 152, "flags": [], "flagCount": 0}, {"npi": "1487649430", "name": "The Miriam Hospital", "specialty": "General Acute Care Hospital", "city": "Providence", "state": "RI", "totalPaid": 138581569.48, "totalClaims": 2151213, "totalBenes": 1650970, "procCount": 423, "flags": [], "flagCount": 0}, {"npi": "1013997691", "name": "Lynn Community Health, Inc.", "specialty": "Clinic/Center, Community Health", "city": "Lynn", "state": "MA", "totalPaid": 138289614.28, "totalClaims": 2070685, "totalBenes": 1613872, "procCount": 211, "flags": [], "flagCount": 0}, {"npi": "1144211301", "name": "North Carolina Baptist Hospital", "specialty": "General Acute Care Hospital", "city": "Winston Salem", "state": "NC", "totalPaid": 138190848.48, "totalClaims": 2386757, "totalBenes": 1942514, "procCount": 416, "flags": [], "flagCount": 0}, {"npi": "1871542340", "name": "Horizon Behavioral Health", "specialty": "Community/Behavioral Health", "city": "Lynchburg", "state": "VA", "totalPaid": 138041258.81, "totalClaims": 725946, "totalBenes": 482787, "procCount": 44, "flags": [], "flagCount": 0}, {"npi": "1851726731", "name": "Infinity Diagnostics Laboratory INC", "specialty": "Clinical Medical Laboratory", "city": "Teterboro", "state": "NJ", "totalPaid": 137995034.85, "totalClaims": 5169150, "totalBenes": 1414631, "procCount": 76, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1407370117", "name": "Agincare Homecare Services, Inc.", "specialty": "Home Health", "city": "Jamaica", "state": "NY", "totalPaid": 137718870.07, "totalClaims": 741467, "totalBenes": 38307, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1730121633", "name": "North Shore Medical Center, Inc.", "specialty": "General Acute Care Hospital", "city": "Salem", "state": "MA", "totalPaid": 137693261.92, "totalClaims": 4624085, "totalBenes": 4128406, "procCount": 636, "flags": [], "flagCount": 0}, {"npi": "1730211178", "name": "Monterey County Behavioral Health Division", "specialty": "Community/Behavioral Health", "city": "Salinas", "state": "CA", "totalPaid": 137686467.91, "totalClaims": 1118523, "totalBenes": 176267, "procCount": 41, "flags": [], "flagCount": 0}, {"npi": "1033239058", "name": "Old Colony Elderly Services, Inc.", "specialty": "Case Management", "city": "Brockton", "state": "MA", "totalPaid": 137684006.92, "totalClaims": 1170455, "totalBenes": 379097, "procCount": 38, "flags": [], "flagCount": 0}, {"npi": "1790735827", "name": "Texas Visiting Nurse Service, Ltd.", "specialty": "Emergency Response System Companies", "city": "Harlingen", "state": "TX", "totalPaid": 137681857.73, "totalClaims": 1928381, "totalBenes": 94291, "procCount": 15, "flags": [], "flagCount": 0}, {"npi": "1396882205", "name": "Vanderbilt University Medical Center", "specialty": "Psychiatric Unit", "city": "Nashville", "state": "TN", "totalPaid": 137587876.69, "totalClaims": 2376792, "totalBenes": 2083646, "procCount": 487, "flags": [], "flagCount": 0}, {"npi": "1396728630", "name": "Sharp Chula Vista Medical Center", "specialty": "General Acute Care Hospital", "city": "Chula Vista", "state": "CA", "totalPaid": 137519577.65, "totalClaims": 1386238, "totalBenes": 1247752, "procCount": 307, "flags": [], "flagCount": 0}, {"npi": "1598898603", "name": "Broadstep Academy-new Jersey Inc.", "specialty": "Residential Treatment Facility  Intellectual and/or Developmental Disabilities", "city": "Sparta", "state": "NJ", "totalPaid": 137093042.29, "totalClaims": 171067, "totalBenes": 19116, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1205822236", "name": "Yale University", "specialty": "Internal Medicine", "city": "New Haven", "state": "CT", "totalPaid": 137026667.86, "totalClaims": 4034511, "totalBenes": 3597215, "procCount": 504, "flags": [], "flagCount": 0}, {"npi": "1952857419", "name": "Hsm Personal Care Corp", "specialty": "In Home Supportive Care", "city": "Brooklyn", "state": "NY", "totalPaid": 136999835.55, "totalClaims": 1026514, "totalBenes": 47945, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1578967386", "name": "Oaks Integrated Care, INC", "specialty": "Clinic/Center, Developmental Disabilities", "city": "Lumberton", "state": "NJ", "totalPaid": 136963010.31, "totalClaims": 379071, "totalBenes": 14771, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1124073366", "name": "Childrens Hospital of Los Angeles", "specialty": "Case Manager/Care Coordinator", "city": "Los Angeles", "state": "CA", "totalPaid": 136947659.2, "totalClaims": 2945648, "totalBenes": 2499979, "procCount": 602, "flags": [], "flagCount": 0}, {"npi": "1083612881", "name": "Englewood Hospital and Medical Center", "specialty": "General Acute Care Hospital", "city": "Englewood", "state": "NJ", "totalPaid": 136903266.97, "totalClaims": 2749303, "totalBenes": 2438419, "procCount": 564, "flags": [], "flagCount": 0}, {"npi": "1396857488", "name": "Cooperman Barnabas Medical Center INC", "specialty": "General Acute Care Hospital", "city": "Livingston", "state": "NJ", "totalPaid": 136809969.24, "totalClaims": 1999431, "totalBenes": 1580092, "procCount": 483, "flags": [], "flagCount": 0}, {"npi": "1366547747", "name": "Riverside Hospital INC", "specialty": "Psychiatric Hospital", "city": "Newport News", "state": "VA", "totalPaid": 136797357.47, "totalClaims": 3118184, "totalBenes": 2130890, "procCount": 623, "flags": [], "flagCount": 0}, {"npi": "1316206220", "name": "Invitae Corporation", "specialty": "Clinical Medical Laboratory", "city": "San Francisco", "state": "CA", "totalPaid": 136727481.32, "totalClaims": 996226, "totalBenes": 910878, "procCount": 118, "flags": [], "flagCount": 0}, {"npi": "1245212380", "name": "Generations Health Association Inc.", "specialty": "Clinic/Center  Mental Health (Including Community Mental Health Center)", "city": "Morrison", "state": "TN", "totalPaid": 136663125.56, "totalClaims": 728359, "totalBenes": 316360, "procCount": 27, "flags": [], "flagCount": 0}, {"npi": "1881051167", "name": "Ride2md INC", "specialty": "Transportation Broker", "city": "Miami", "state": "FL", "totalPaid": 136507505.04, "totalClaims": 6174743, "totalBenes": 547881, "procCount": 12, "flags": [], "flagCount": 0}, {"npi": "1487640207", "name": "District Hospital Partners L P", "specialty": "Nurse Practitioner, Family", "city": "Washington", "state": "DC", "totalPaid": 136253094.59, "totalClaims": 1835526, "totalBenes": 1433069, "procCount": 412, "flags": [], "flagCount": 0}, {"npi": "1164543765", "name": "Looking Upwards Inc.", "specialty": "Day Training  Developmentally Disabled Services", "city": "Portsmouth", "state": "RI", "totalPaid": 136251696.62, "totalClaims": 204880, "totalBenes": 66210, "procCount": 15, "flags": [], "flagCount": 0}, {"npi": "1093810889", "name": "La Frontera Center Inc.", "specialty": "Clinic/Center  Mental Health (Including Community Mental Health Center)", "city": "Tucson", "state": "AZ", "totalPaid": 136186368.15, "totalClaims": 3105548, "totalBenes": 1086511, "procCount": 63, "flags": ["beneficiary_stuffing|spending_spike"], "flagCount": 1}, {"npi": "1700092459", "name": "Lawrence and Memorial Hospital, Inc.", "specialty": "Internal Medicine", "city": "New London", "state": "CT", "totalPaid": 136186185.97, "totalClaims": 4077349, "totalBenes": 3148912, "procCount": 551, "flags": [], "flagCount": 0}, {"npi": "1629167457", "name": "County of Ventura", "specialty": "Clinic/Center, Emergency Care", "city": "Ventura", "state": "CA", "totalPaid": 136145542.08, "totalClaims": 3011483, "totalBenes": 2578495, "procCount": 654, "flags": [], "flagCount": 0}, {"npi": "1376760835", "name": "Health Care & Rehabilitation Services", "specialty": "Clinic/Center  Developmental Disabilities", "city": "Bellows Falls", "state": "VT", "totalPaid": 136051608.9, "totalClaims": 465875, "totalBenes": 68287, "procCount": 16, "flags": [], "flagCount": 0}, {"npi": "1689629990", "name": "Valley Oaks Health INC", "specialty": "Clinic/Center, Mental Health (Including Community Mental Health Center)", "city": "Lafayette", "state": "IN", "totalPaid": 135907422.96, "totalClaims": 1718750, "totalBenes": 609530, "procCount": 34, "flags": [], "flagCount": 0}, {"npi": "1699769901", "name": "Curators of the University of Missouri", "specialty": "General Acute Care Hospital", "city": "Columbia", "state": "MO", "totalPaid": 135878673.88, "totalClaims": 1446664, "totalBenes": 1299459, "procCount": 413, "flags": [], "flagCount": 0}, {"npi": "1649681362", "name": "Patriot Home Care INC", "specialty": "Home Health", "city": "Philadelphia", "state": "PA", "totalPaid": 135805884.39, "totalClaims": 823581, "totalBenes": 31237, "procCount": 1, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1619419835", "name": "Swope Health Services", "specialty": "Community/Behavioral Health", "city": "Kansas City", "state": "MO", "totalPaid": 135379412.54, "totalClaims": 957803, "totalBenes": 305151, "procCount": 26, "flags": [], "flagCount": 0}, {"npi": "1588614994", "name": "Community Medical Associates, Inc.", "specialty": "Clinical Neuropsychologist", "city": "Louisville", "state": "KY", "totalPaid": 135327303.92, "totalClaims": 5158011, "totalBenes": 4298388, "procCount": 410, "flags": [], "flagCount": 0}, {"npi": "1598000549", "name": "Living Alternatives for the Developmentally Disabled, Inc.", "specialty": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Dowagiac", "state": "MI", "totalPaid": 135176226.02, "totalClaims": 641811, "totalBenes": 31423, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1700887411", "name": "Memorial Hospital for Cancer and Allied Diseases", "specialty": "Pharmacy", "city": "New York", "state": "NY", "totalPaid": 135127586.09, "totalClaims": 1316373, "totalBenes": 869223, "procCount": 447, "flags": [], "flagCount": 0}, {"npi": "1225205354", "name": "Greater New York Home Care LLC", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 135035654.62, "totalClaims": 174799, "totalBenes": 34215, "procCount": 15, "flags": [], "flagCount": 0}, {"npi": "1447457148", "name": "Foundation for the Elderly", "specialty": "In Home Supportive Care", "city": "Inwood", "state": "NY", "totalPaid": 135029333.63, "totalClaims": 954455, "totalBenes": 55280, "procCount": 8, "flags": [], "flagCount": 0}, {"npi": "1427246669", "name": "National Mentor Services LLC", "specialty": "Case Management", "city": "Saint Louis", "state": "MO", "totalPaid": 134901191.78, "totalClaims": 582965, "totalBenes": 43773, "procCount": 12, "flags": [], "flagCount": 0}, {"npi": "1336149426", "name": "Cochlear Americas", "specialty": "Durable Medical Equipment & Medical Supplies", "city": "Lone Tree", "state": "CO", "totalPaid": 134875477.82, "totalClaims": 85831, "totalBenes": 60090, "procCount": 18, "flags": [], "flagCount": 0}, {"npi": "1083789564", "name": "City of Los Angeles", "specialty": "Ambulance", "city": "Los Angeles", "state": "CA", "totalPaid": 134663270.25, "totalClaims": 915807, "totalBenes": 795968, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1124560248", "name": "Preferred Family Healthcare", "specialty": "Community/Behavioral Health", "city": "Kirksville", "state": "MO", "totalPaid": 134428119.04, "totalClaims": 1499284, "totalBenes": 398017, "procCount": 37, "flags": [], "flagCount": 0}, {"npi": "1992886881", "name": "Mainstream Living Inc.", "specialty": "Social Worker", "city": "Ames", "state": "IA", "totalPaid": 134327009.41, "totalClaims": 137318, "totalBenes": 33655, "procCount": 7, "flags": ["unusual_cost_per_claim|spending_spike"], "flagCount": 1}, {"npi": "1578971214", "name": "Acumen of North Carolina, LLC", "specialty": "Case Management", "city": "Charlotte", "state": "NC", "totalPaid": 134277839.22, "totalClaims": 1488504, "totalBenes": 114073, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1992216766", "name": "Habilitative Services LLC", "specialty": "Community/Behavioral Health", "city": "Mankato", "state": "MN", "totalPaid": 134118490.95, "totalClaims": 600758, "totalBenes": 23488, "procCount": 9, "flags": [], "flagCount": 0}, {"npi": "1033494943", "name": "Our Lady of the Lake Physician Group LLC", "specialty": "Allergy & Immunology", "city": "Baton Rouge", "state": "LA", "totalPaid": 134000390.75, "totalClaims": 4146117, "totalBenes": 3459267, "procCount": 348, "flags": [], "flagCount": 0}, {"npi": "1407839921", "name": "Sharp Memorial Hospital", "specialty": "General Acute Care Hospital, Women", "city": "San Diego", "state": "CA", "totalPaid": 133749346.05, "totalClaims": 1447137, "totalBenes": 1274299, "procCount": 306, "flags": [], "flagCount": 0}, {"npi": "1508809427", "name": "Banner-university Medical Group", "specialty": "Clinic/Center, Primary Care", "city": "Phoenix", "state": "AZ", "totalPaid": 133692691.28, "totalClaims": 2458194, "totalBenes": 2068457, "procCount": 458, "flags": [], "flagCount": 0}, {"npi": "1275697195", "name": "Nys Office of Mental Health", "specialty": "Clinic/Center, Adolescent and Children Mental Health", "city": "Orangeburg", "state": "NY", "totalPaid": 133691587.87, "totalClaims": 575410, "totalBenes": 428316, "procCount": 31, "flags": [], "flagCount": 0}, {"npi": "1124155825", "name": "Pioneer Homecare Inc.", "specialty": "Home Health", "city": "Bronx", "state": "NY", "totalPaid": 133650771.6, "totalClaims": 221134, "totalBenes": 10583, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1427124494", "name": "State of Missouri", "specialty": "Day Training, Developmentally Disabled Services", "city": "Marshall", "state": "MO", "totalPaid": 133341984.4, "totalClaims": 357551, "totalBenes": 33720, "procCount": 7, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1134107113", "name": "Gandara Mental Health Center INC", "specialty": "Counselor  Mental Health", "city": "Springfield", "state": "MA", "totalPaid": 133340173.27, "totalClaims": 1407451, "totalBenes": 220045, "procCount": 27, "flags": [], "flagCount": 0}, {"npi": "1598043747", "name": "Omni Visions Inc.", "specialty": "Foster Care Agency", "city": "Nashville", "state": "TN", "totalPaid": 133330444.08, "totalClaims": 64157, "totalBenes": 59651, "procCount": 4, "flags": ["unusual_cost_per_claim|spending_spike", "explosive_growth"], "flagCount": 2}, {"npi": "1902028772", "name": "Advantage Consumer Directed Services, LLC", "specialty": "Home Health", "city": "Saint Louis", "state": "MO", "totalPaid": 133275438.76, "totalClaims": 2347848, "totalBenes": 100952, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1306001623", "name": "Vivicare Health Partners, LLC", "specialty": "Nursing Care", "city": "Fort Worth", "state": "TX", "totalPaid": 133233374.2, "totalClaims": 287015, "totalBenes": 13103, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1275683260", "name": "Southeast Kansas Independent Living Resource Center INC", "specialty": "Case Manager/Care Coordinator", "city": "Parsons", "state": "KS", "totalPaid": 133138286.5, "totalClaims": 1539186, "totalBenes": 142946, "procCount": 11, "flags": ["billing_consistency"], "flagCount": 1}, {"npi": "1477591055", "name": "The Moses H. Cone Memorial Hospital Operating Corporation", "specialty": "General Acute Care Hospital", "city": "Greensboro", "state": "NC", "totalPaid": 133120525.5, "totalClaims": 2217442, "totalBenes": 1776176, "procCount": 274, "flags": [], "flagCount": 0}, {"npi": "1689769911", "name": "Dignity Health", "specialty": "General Acute Care Hospital", "city": "San Bernardino", "state": "CA", "totalPaid": 133093320.82, "totalClaims": 2345963, "totalBenes": 2008684, "procCount": 354, "flags": [], "flagCount": 0}, {"npi": "1548286172", "name": "Driscoll Childrens Hospital", "specialty": "Speech-Language Pathologist,  ", "city": "Corpus Christi", "state": "TX", "totalPaid": 133069160.27, "totalClaims": 973270, "totalBenes": 822434, "procCount": 241, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1467493551", "name": "Mercy Health - St Vincent Medical Center LLC", "specialty": "Ambulance, Land Transport", "city": "Toledo", "state": "OH", "totalPaid": 132929640.89, "totalClaims": 2987484, "totalBenes": 2197484, "procCount": 673, "flags": [], "flagCount": 0}, {"npi": "1316012263", "name": "Rem North Star, Inc.", "specialty": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Bemidji", "state": "MN", "totalPaid": 132674393.51, "totalClaims": 492046, "totalBenes": 20005, "procCount": 8, "flags": [], "flagCount": 0}, {"npi": "1396771820", "name": "Douglas A. Thom Clinic, Inc.", "specialty": "Clinic/Center, Developmental Disabilities", "city": "Lowell", "state": "MA", "totalPaid": 132522598.19, "totalClaims": 1101912, "totalBenes": 337976, "procCount": 13, "flags": [], "flagCount": 0}, {"npi": "1447602032", "name": "New Jersey Institute for Disabilities INC", "specialty": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Edison", "state": "NJ", "totalPaid": 132498722.33, "totalClaims": 466127, "totalBenes": 25706, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1841236684", "name": "Quest Diagnostics of Pennsylvania, Inc.", "specialty": "Clinical Medical Laboratory", "city": "Pittsburgh", "state": "PA", "totalPaid": 132391899.24, "totalClaims": 11245781, "totalBenes": 9976988, "procCount": 494, "flags": [], "flagCount": 0}, {"npi": "1326033929", "name": "County of Santa Clara", "specialty": "Clinic/Center  Federally Qualified Health Center (FQHC)", "city": "San Jose", "state": "CA", "totalPaid": 132370238.22, "totalClaims": 1413349, "totalBenes": 1096182, "procCount": 202, "flags": [], "flagCount": 0}, {"npi": "1447233788", "name": "Women & Infants Hospital of Rhode Island", "specialty": "Clinic/Center, Ambulatory Family Planning Facility", "city": "Providence", "state": "RI", "totalPaid": 132156768.49, "totalClaims": 1360699, "totalBenes": 1048759, "procCount": 338, "flags": [], "flagCount": 0}, {"npi": "1073516183", "name": "Capital Health System, Inc.", "specialty": "General Acute Care Hospital", "city": "Pennington", "state": "NJ", "totalPaid": 132155587.07, "totalClaims": 1264718, "totalBenes": 1114445, "procCount": 350, "flags": [], "flagCount": 0}, {"npi": "1043267727", "name": "Samaritan Hospital of Troy, New York", "specialty": "", "city": "Troy", "state": "NY", "totalPaid": 132148572.88, "totalClaims": 2081354, "totalBenes": 1843933, "procCount": 542, "flags": [], "flagCount": 0}, {"npi": "1497102180", "name": "Global Home Care Inc.", "specialty": "Home Health", "city": "Brooklyn", "state": "NY", "totalPaid": 131852871.28, "totalClaims": 917244, "totalBenes": 37545, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1073578431", "name": "Integrated Services for Behavioral Health", "specialty": "Social Worker, Clinical", "city": "Nelsonville", "state": "OH", "totalPaid": 131807193.61, "totalClaims": 1289318, "totalBenes": 549678, "procCount": 34, "flags": [], "flagCount": 0}, {"npi": "1891710638", "name": "Shasta Community Health Center", "specialty": "Clinical Neuropsychologist", "city": "Redding", "state": "CA", "totalPaid": 131714369.96, "totalClaims": 1794313, "totalBenes": 1257721, "procCount": 167, "flags": [], "flagCount": 0}, {"npi": "1700024296", "name": "Positive Behavior Supports", "specialty": "Community/Behavioral Health", "city": "Stuart", "state": "FL", "totalPaid": 131511539.19, "totalClaims": 805963, "totalBenes": 128815, "procCount": 12, "flags": [], "flagCount": 0}, {"npi": "1942224696", "name": "Svmc Holdings, INC", "specialty": "General Acute Care Hospital", "city": "Bridgeport", "state": "CT", "totalPaid": 131507458.54, "totalClaims": 2572004, "totalBenes": 1894400, "procCount": 466, "flags": [], "flagCount": 0}, {"npi": "1861522435", "name": "United Cerebral Palsy of Southern Arizona, INC", "specialty": "Home Health", "city": "Tucson", "state": "AZ", "totalPaid": 131488965.11, "totalClaims": 1254166, "totalBenes": 87604, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1942451216", "name": "Viaquest Psychiatric & Behavioral Solutions LLC", "specialty": "Community/Behavioral Health", "city": "Dublin", "state": "OH", "totalPaid": 131411443.54, "totalClaims": 1939566, "totalBenes": 798656, "procCount": 24, "flags": [], "flagCount": 0}, {"npi": "1043385420", "name": "Rem Minnesota Community Services, Inc.", "specialty": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Apple Valley", "state": "MN", "totalPaid": 131372047.85, "totalClaims": 594474, "totalBenes": 18013, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1336219195", "name": "Prairie Community Services", "specialty": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Morris", "state": "MN", "totalPaid": 131257393.79, "totalClaims": 539622, "totalBenes": 20053, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1972545945", "name": "Four County Comprehensive Mental Health Center INC", "specialty": "Clinic/Center, Mental Health (Including Community Mental Health Center)", "city": "Peru", "state": "IN", "totalPaid": 131203141.13, "totalClaims": 1375759, "totalBenes": 559239, "procCount": 26, "flags": [], "flagCount": 0}, {"npi": "1427242163", "name": "San Mateo County", "specialty": "Community/Behavioral Health", "city": "San Mateo", "state": "CA", "totalPaid": 131048988.57, "totalClaims": 809118, "totalBenes": 169681, "procCount": 37, "flags": [], "flagCount": 0}, {"npi": "1417915653", "name": "Accredo Health Group INC", "specialty": "Pharmacy, Community/Retail Pharmacy", "city": "Warrendale", "state": "PA", "totalPaid": 130922434.36, "totalClaims": 150809, "totalBenes": 78113, "procCount": 33, "flags": [], "flagCount": 0}, {"npi": "1578989703", "name": "Central Valley Specialty Hospital INC", "specialty": "General Acute Care Hospital", "city": "Modesto", "state": "CA", "totalPaid": 130741378.57, "totalClaims": 39493, "totalBenes": 27071, "procCount": 20, "flags": ["unusual_cost_per_claim|beneficiary_stuffing"], "flagCount": 1}, {"npi": "1295968162", "name": "District Medical Group, INC", "specialty": "Anesthesiology", "city": "Phoenix", "state": "AZ", "totalPaid": 130604293.79, "totalClaims": 1786864, "totalBenes": 1468564, "procCount": 338, "flags": [], "flagCount": 0}, {"npi": "1710053780", "name": "State of Missouri", "specialty": "Day Training, Developmentally Disabled Services", "city": "Saint Louis", "state": "MO", "totalPaid": 130361485.54, "totalClaims": 745048, "totalBenes": 39949, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1881994762", "name": "Bryan Skilled Home Care INC", "specialty": "Home Health", "city": "Amityville", "state": "NY", "totalPaid": 130284007.37, "totalClaims": 598320, "totalBenes": 24694, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1538378625", "name": "Southcentral Foundation", "specialty": "Clinic/Center  Community Health", "city": "Anchorage", "state": "AK", "totalPaid": 130283487.04, "totalClaims": 191814, "totalBenes": 177114, "procCount": 28, "flags": [], "flagCount": 0}, {"npi": "1992043053", "name": "Sunrise Treatment Center, LLC", "specialty": "Clinic/Center, Adult Mental Health", "city": "Cincinnati", "state": "OH", "totalPaid": 130120855.97, "totalClaims": 1739885, "totalBenes": 899981, "procCount": 68, "flags": [], "flagCount": 0}, {"npi": "1952528408", "name": "Howard Center INC", "specialty": "Clinic/Center, Adolescent and Children Mental Health", "city": "Burlington", "state": "VT", "totalPaid": 130071834.3, "totalClaims": 280214, "totalBenes": 52925, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1144681909", "name": "NV St Dv Mh Ds Desert Dev Center", "specialty": "Respite Care  Respite Care  Intellectual and/or Developmental Disabilities  Child", "city": "Las Vegas", "state": "NV", "totalPaid": 129820746.21, "totalClaims": 1593357, "totalBenes": 97529, "procCount": 8, "flags": [], "flagCount": 0}, {"npi": "1407932775", "name": "Comprehab LLC", "specialty": "Speech-Language Pathologist,  ", "city": "Gastonia", "state": "NC", "totalPaid": 129788655.84, "totalClaims": 675931, "totalBenes": 120303, "procCount": 22, "flags": [], "flagCount": 0}, {"npi": "1780708263", "name": "Northwestern Counseling & Support Services", "specialty": "Community/Behavioral Health", "city": "Saint Albans", "state": "VT", "totalPaid": 129734549.12, "totalClaims": 587102, "totalBenes": 52696, "procCount": 19, "flags": ["unusual_cost_per_claim|beneficiary_stuffing"], "flagCount": 1}, {"npi": "1114057163", "name": "Chapa-de Indian Health Program Inc.", "specialty": "Clinic/Center  Federally Qualified Health Center (FQHC)", "city": "Auburn", "state": "CA", "totalPaid": 129569367.7, "totalClaims": 431482, "totalBenes": 345138, "procCount": 93, "flags": [], "flagCount": 0}, {"npi": "1326002049", "name": "University of Washington", "specialty": "Clinic/Center, Dental", "city": "Seattle", "state": "WA", "totalPaid": 129568642.53, "totalClaims": 3803449, "totalBenes": 3169198, "procCount": 940, "flags": [], "flagCount": 0}, {"npi": "1235148594", "name": "Ihc Health Services, Inc.", "specialty": "Psychiatric Unit", "city": "Salt Lake City", "state": "UT", "totalPaid": 129516924.13, "totalClaims": 820675, "totalBenes": 622894, "procCount": 366, "flags": [], "flagCount": 0}, {"npi": "1043243538", "name": "American Medical Response of Connecticut Incorporated", "specialty": "Ambulance, Land Transport", "city": "New Haven", "state": "CT", "totalPaid": 129511934.18, "totalClaims": 1104697, "totalBenes": 775290, "procCount": 12, "flags": [], "flagCount": 0}, {"npi": "1518081637", "name": "All Saints Home Care, Inc.", "specialty": "Home Health", "city": "Wichita", "state": "KS", "totalPaid": 129475421.82, "totalClaims": 1566529, "totalBenes": 134621, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1932749512", "name": "Living Innovations Support Services LLC", "specialty": "Day Training  Developmentally Disabled Services", "city": "Dover", "state": "NH", "totalPaid": 129273293.39, "totalClaims": 224253, "totalBenes": 40592, "procCount": 7, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1619062304", "name": "Venture Forthe, Inc.", "specialty": "Clinic/Center, Adult Day Care", "city": "Niagara Falls", "state": "NY", "totalPaid": 129271433.32, "totalClaims": 874312, "totalBenes": 53463, "procCount": 12, "flags": [], "flagCount": 0}, {"npi": "1184715328", "name": "Richmond Behavioral Health Authority", "specialty": "Counselor", "city": "Richmond", "state": "VA", "totalPaid": 129186445.2, "totalClaims": 988214, "totalBenes": 393448, "procCount": 78, "flags": [], "flagCount": 0}, {"npi": "1558518753", "name": "Cardiovascular Institute of San Diego INC", "specialty": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology", "city": "Chula Vista", "state": "CA", "totalPaid": 129165018.28, "totalClaims": 656369, "totalBenes": 629513, "procCount": 72, "flags": [], "flagCount": 0}, {"npi": "1396286423", "name": "Meadows Home Care LLC", "specialty": "Home Health", "city": "Astoria", "state": "NY", "totalPaid": 129127521.54, "totalClaims": 892634, "totalBenes": 49352, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1649342775", "name": "Community Living Network", "specialty": "Voluntary or Charitable", "city": "Ypsilanti", "state": "MI", "totalPaid": 129064685.5, "totalClaims": 1098750, "totalBenes": 86798, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1336659085", "name": "Rock Dental Arkansas PLLC", "specialty": "Dentist, Orthodontics and Dentofacial Orthopedics", "city": "Hot Springs", "state": "AR", "totalPaid": 129040103.62, "totalClaims": 2759161, "totalBenes": 2230723, "procCount": 59, "flags": [], "flagCount": 0}, {"npi": "1356470207", "name": "Service Access and Management INC", "specialty": "Community/Behavioral Health", "city": "Reading", "state": "PA", "totalPaid": 128945803.46, "totalClaims": 1377142, "totalBenes": 451507, "procCount": 10, "flags": [], "flagCount": 0}, {"npi": "1477589877", "name": "Americare Healthcare Services, INC", "specialty": "Home Health", "city": "Blacklick", "state": "OH", "totalPaid": 128896804.44, "totalClaims": 2743973, "totalBenes": 124483, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1477674828", "name": "Pyramid Health Care Inc.", "specialty": "Substance Abuse Rehabilitation Facility", "city": "Wilkinsburg", "state": "PA", "totalPaid": 128752809.57, "totalClaims": 422669, "totalBenes": 38807, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1639299274", "name": "Berry Family Services", "specialty": "Case Management", "city": "Rowlett", "state": "TX", "totalPaid": 128748229.49, "totalClaims": 1006645, "totalBenes": 117196, "procCount": 47, "flags": ["explosive_growth"], "flagCount": 1}, {"npi": "1790762755", "name": "Community Health Care", "specialty": "Case Management", "city": "Tacoma", "state": "WA", "totalPaid": 128544153.34, "totalClaims": 1435302, "totalBenes": 1211749, "procCount": 138, "flags": [], "flagCount": 0}, {"npi": "1922157403", "name": "First Step Inc.", "specialty": "Day Training  Developmentally Disabled Services", "city": "Hot Springs", "state": "AR", "totalPaid": 128311369.97, "totalClaims": 1580692, "totalBenes": 166471, "procCount": 26, "flags": [], "flagCount": 0}, {"npi": "1992793269", "name": "H & H Drug Stores, INC", "specialty": "Durable Medical Equipment & Medical Supplies", "city": "Glendale", "state": "CA", "totalPaid": 128310909.54, "totalClaims": 4216880, "totalBenes": 4109741, "procCount": 266, "flags": [], "flagCount": 0}, {"npi": "1154302586", "name": "Northeast Behavioral Health Corporation", "specialty": "Clinic/Center  Mental Health (Including Community Mental Health Center)", "city": "Beverly", "state": "MA", "totalPaid": 128310043.16, "totalClaims": 1330717, "totalBenes": 371300, "procCount": 54, "flags": [], "flagCount": 0}, {"npi": "1144378381", "name": "Northeast Michigan Community Mental Health Authority", "specialty": "Community/Behavioral Health", "city": "Alpena", "state": "MI", "totalPaid": 128254378.55, "totalClaims": 689813, "totalBenes": 160267, "procCount": 52, "flags": [], "flagCount": 0}, {"npi": "1790297547", "name": "Hmh Hospitals Corporation", "specialty": "General Acute Care Hospital", "city": "Neptune", "state": "NJ", "totalPaid": 128230741.8, "totalClaims": 1935584, "totalBenes": 1450618, "procCount": 519, "flags": [], "flagCount": 0}, {"npi": "1366561755", "name": "New York Foundation for Senior Citizens Home Attendant Services, Inc.", "specialty": "Home Health", "city": "New York", "state": "NY", "totalPaid": 128198932.08, "totalClaims": 573328, "totalBenes": 25291, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1528138088", "name": "Kaiser Foundation Hospitals", "specialty": "General Acute Care Hospital", "city": "Sacramento", "state": "CA", "totalPaid": 128113204.24, "totalClaims": 2700377, "totalBenes": 2267138, "procCount": 353, "flags": [], "flagCount": 0}, {"npi": "1053359729", "name": "Sage River Counseling", "specialty": "Counselor  Mental Health", "city": "Seattle", "state": "WA", "totalPaid": 128048228.32, "totalClaims": 3785996, "totalBenes": 3181822, "procCount": 749, "flags": [], "flagCount": 0}, {"npi": "1376538991", "name": "County of Santa Clara", "specialty": "Clinic/Center  Federally Qualified Health Center (FQHC)", "city": "San Jose", "state": "CA", "totalPaid": 127878847.24, "totalClaims": 1202800, "totalBenes": 941705, "procCount": 195, "flags": [], "flagCount": 0}, {"npi": "1639131436", "name": "Falck Mobile Health Corp", "specialty": "Ambulance, Land Transport", "city": "Orange", "state": "CA", "totalPaid": 127735665.89, "totalClaims": 1455034, "totalBenes": 1278813, "procCount": 23, "flags": [], "flagCount": 0}, {"npi": "1447300058", "name": "A Caring Heart Case Management, Inc.", "specialty": "Case Management", "city": "Wilson", "state": "NC", "totalPaid": 127560167.2, "totalClaims": 833592, "totalBenes": 43065, "procCount": 13, "flags": [], "flagCount": 0}, {"npi": "1891201844", "name": "Prompt Home Care LLC", "specialty": "Home Health", "city": "Bronx", "state": "NY", "totalPaid": 127399061.93, "totalClaims": 993372, "totalBenes": 44814, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1649293028", "name": "Community Healthlink INC", "specialty": "Clinic/Center  Mental Health (Including Community Mental Health Center)", "city": "Worcester", "state": "MA", "totalPaid": 127307222.99, "totalClaims": 1392016, "totalBenes": 363192, "procCount": 49, "flags": [], "flagCount": 0}, {"npi": "1174512792", "name": "Tucson Medical Center", "specialty": "Clinic/Center, Hearing and Speech", "city": "Tucson", "state": "AZ", "totalPaid": 127254139.73, "totalClaims": 3836178, "totalBenes": 3076838, "procCount": 578, "flags": [], "flagCount": 0}, {"npi": "1194994848", "name": "Personal Touch Home Care of Ky, Inc.", "specialty": "Home Health", "city": "Fort Thomas", "state": "KY", "totalPaid": 127228403.87, "totalClaims": 357881, "totalBenes": 318977, "procCount": 22, "flags": [], "flagCount": 0}, {"npi": "1497731533", "name": "Djo, LLC", "specialty": "Prosthetic/Orthotic Supplier", "city": "Carlsbad", "state": "CA", "totalPaid": 127184481.22, "totalClaims": 1152990, "totalBenes": 999301, "procCount": 74, "flags": [], "flagCount": 0}, {"npi": "1912980251", "name": "Community Health Care, Inc.", "specialty": "Counselor, Addiction (Substance Use Disorder)", "city": "Westfield", "state": "MA", "totalPaid": 127154168.46, "totalClaims": 5880762, "totalBenes": 384483, "procCount": 9, "flags": [], "flagCount": 0}, {"npi": "1124215785", "name": "Mississippi Department of Rehabilitaion Services", "specialty": "Case Management", "city": "Jackson", "state": "MS", "totalPaid": 127002143.6, "totalClaims": 240446, "totalBenes": 90082, "procCount": 5, "flags": [], "flagCount": 0}, {"npi": "1922001189", "name": "Binson's Hospital Supplies, Inc.", "specialty": "Durable Medical Equipment & Medical Supplies, Customized Equipment", "city": "Center Line", "state": "MI", "totalPaid": 126693546.05, "totalClaims": 3481717, "totalBenes": 3387618, "procCount": 241, "flags": [], "flagCount": 0}, {"npi": "1639574635", "name": "Wec Health, LLC", "specialty": "Foster Care Agency", "city": "Framingham", "state": "MA", "totalPaid": 126410419.21, "totalClaims": 1051441, "totalBenes": 57422, "procCount": 2, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1518232859", "name": "Consumer Direct for Tennessee, LLC", "specialty": "Nursing Care", "city": "Nashville", "state": "TN", "totalPaid": 126382726.36, "totalClaims": 1095470, "totalBenes": 77636, "procCount": 6, "flags": ["instant_high_volume"], "flagCount": 1}, {"npi": "1669538419", "name": "Moka Corporation", "specialty": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Muskegon", "state": "MI", "totalPaid": 126333280.28, "totalClaims": 968059, "totalBenes": 54056, "procCount": 41, "flags": [], "flagCount": 0}, {"npi": "1982733655", "name": "Dignity Health", "specialty": "Rehabilitation Unit", "city": "Phoenix", "state": "AZ", "totalPaid": 126193056.38, "totalClaims": 3238388, "totalBenes": 2607255, "procCount": 579, "flags": [], "flagCount": 0}, {"npi": "1306878798", "name": "Act Home Health Services INC", "specialty": "Home Health", "city": "Philadelphia", "state": "PA", "totalPaid": 125953527.12, "totalClaims": 174089, "totalBenes": 8740, "procCount": 6, "flags": ["beneficiary_stuffing|spending_spike"], "flagCount": 1}, {"npi": "1548343510", "name": "Permanente Medical Group INC", "specialty": "Anesthesiology", "city": "Stockton", "state": "CA", "totalPaid": 125880919.96, "totalClaims": 4998449, "totalBenes": 4646691, "procCount": 607, "flags": [], "flagCount": 0}, {"npi": "1073588711", "name": "Edward W Sparrow Hospital Association", "specialty": "Rehabilitation, Substance Use Disorder Unit", "city": "Lansing", "state": "MI", "totalPaid": 125877340.82, "totalClaims": 4162433, "totalBenes": 3709504, "procCount": 711, "flags": [], "flagCount": 0}, {"npi": "1245246917", "name": "North County Health Project, Inc.", "specialty": "Clinic/Center, Federally Qualified Health Center (FQHC)", "city": "San Marcos", "state": "CA", "totalPaid": 125681022.83, "totalClaims": 3749684, "totalBenes": 2926601, "procCount": 222, "flags": [], "flagCount": 0}, {"npi": "1821007881", "name": "Upmc Presbyterian Shadyside", "specialty": "Clinic/Center", "city": "Pittsburgh", "state": "PA", "totalPaid": 125540870.57, "totalClaims": 1693653, "totalBenes": 1095909, "procCount": 579, "flags": [], "flagCount": 0}, {"npi": "1801803903", "name": "New York City Health and Hospitals Corporation", "specialty": "General Acute Care Hospital", "city": "Jamaica", "state": "NY", "totalPaid": 125540831.24, "totalClaims": 3041842, "totalBenes": 2445264, "procCount": 587, "flags": [], "flagCount": 0}, {"npi": "1306992151", "name": "Swedish Health Services", "specialty": "General Acute Care Hospital", "city": "Seattle", "state": "WA", "totalPaid": 125521036.25, "totalClaims": 3130079, "totalBenes": 2557018, "procCount": 573, "flags": [], "flagCount": 0}, {"npi": "1053353896", "name": "The Metrohealth System", "specialty": "Anesthesiology", "city": "Cleveland", "state": "OH", "totalPaid": 125459735.4, "totalClaims": 4842004, "totalBenes": 4268481, "procCount": 447, "flags": [], "flagCount": 0}, {"npi": "1275566424", "name": "Waianae District Comprehensive Health and Hospital Board, INC", "specialty": "Pediatrics", "city": "Waianae", "state": "HI", "totalPaid": 125417967.99, "totalClaims": 794877, "totalBenes": 690748, "procCount": 171, "flags": [], "flagCount": 0}, {"npi": "1902032832", "name": "Indiana University Health Care Associates, INC", "specialty": "Physician Assistant", "city": "Indianapolis", "state": "IN", "totalPaid": 125339296.1, "totalClaims": 1636417, "totalBenes": 1410204, "procCount": 204, "flags": [], "flagCount": 0}, {"npi": "1740254143", "name": "Ahs Hospital Corp.", "specialty": "General Acute Care Hospital", "city": "Summit", "state": "NJ", "totalPaid": 125198712.11, "totalClaims": 2039778, "totalBenes": 1538437, "procCount": 482, "flags": [], "flagCount": 0}, {"npi": "1417010604", "name": "Ablelight Inc.", "specialty": "Intermediate Care Facility, Intellectual Disabilities", "city": "Watertown", "state": "WI", "totalPaid": 125120489.54, "totalClaims": 388998, "totalBenes": 45623, "procCount": 21, "flags": [], "flagCount": 0}, {"npi": "1750395737", "name": "Holyoke Medical Center, Inc.", "specialty": "Clinic/Center, Adult Mental Health", "city": "Holyoke", "state": "MA", "totalPaid": 125053508.66, "totalClaims": 3244490, "totalBenes": 2795395, "procCount": 523, "flags": [], "flagCount": 0}, {"npi": "1598703647", "name": "Neighborhood Healthcare", "specialty": "Clinic/Center, Federally Qualified Health Center (FQHC)", "city": "Escondido", "state": "CA", "totalPaid": 124930174.34, "totalClaims": 1972114, "totalBenes": 1557915, "procCount": 194, "flags": [], "flagCount": 0}, {"npi": "1043622780", "name": "Gateway Pediatric Therapy LLC", "specialty": "Behavior Analyst", "city": "Bingham Farms", "state": "MI", "totalPaid": 124924756.48, "totalClaims": 746730, "totalBenes": 97401, "procCount": 14, "flags": [], "flagCount": 0}, {"npi": "1033102942", "name": "Carilion Medical Center", "specialty": "General Acute Care Hospital", "city": "Roanoke", "state": "VA", "totalPaid": 124861358.8, "totalClaims": 2897971, "totalBenes": 2065897, "procCount": 589, "flags": [], "flagCount": 0}, {"npi": "1669484473", "name": "Myriad Genetic Laboratories, Inc.", "specialty": "Clinical Medical Laboratory", "city": "Salt Lake City", "state": "UT", "totalPaid": 124779639.76, "totalClaims": 386281, "totalBenes": 334833, "procCount": 34, "flags": [], "flagCount": 0}, {"npi": "1528387859", "name": "Brandi's Hope Community Services", "specialty": "Day Training  Developmentally Disabled Services", "city": "Magee", "state": "MS", "totalPaid": 124648866.14, "totalClaims": 49946, "totalBenes": 34652, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1770573586", "name": "Mcallen Hospitals L P", "specialty": "General Acute Care Hospital", "city": "Edinburg", "state": "TX", "totalPaid": 124608403.57, "totalClaims": 1281299, "totalBenes": 1155696, "procCount": 212, "flags": [], "flagCount": 0}, {"npi": "1376695163", "name": "Total Transit INC", "specialty": "Non-emergency Medical Transport (VAN)", "city": "Glendale", "state": "AZ", "totalPaid": 124587196.2, "totalClaims": 11081370, "totalBenes": 1718323, "procCount": 8, "flags": [], "flagCount": 0}, {"npi": "1750765335", "name": "Fejost LLC", "specialty": "Transportation Broker", "city": "Bronx", "state": "NY", "totalPaid": 124507981.24, "totalClaims": 2322109, "totalBenes": 585078, "procCount": 10, "flags": [], "flagCount": 0}, {"npi": "1417065111", "name": "Maxim Healthcare Services, Inc.", "specialty": "Home Health", "city": "Maitland", "state": "FL", "totalPaid": 124504001.35, "totalClaims": 212775, "totalBenes": 11549, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1841271459", "name": "West Virginia University Hospitals, INC", "specialty": "Clinical Medical Laboratory", "city": "Morgantown", "state": "WV", "totalPaid": 124089508.13, "totalClaims": 2888713, "totalBenes": 2312627, "procCount": 830, "flags": [], "flagCount": 0}, {"npi": "1891237012", "name": "Places for People INC", "specialty": "Community/Behavioral Health", "city": "Saint Louis", "state": "MO", "totalPaid": 123916550.75, "totalClaims": 794988, "totalBenes": 166411, "procCount": 24, "flags": [], "flagCount": 0}, {"npi": "1215982913", "name": "Byram Healthcare Centers, Inc.", "specialty": "Durable Medical Equipment & Medical Supplies", "city": "Portland", "state": "OR", "totalPaid": 123866311.62, "totalClaims": 1792633, "totalBenes": 1548320, "procCount": 157, "flags": [], "flagCount": 0}, {"npi": "1548293343", "name": "Danbury Hospital", "specialty": "General Practice", "city": "Danbury", "state": "CT", "totalPaid": 123865718.05, "totalClaims": 3341221, "totalBenes": 2543919, "procCount": 525, "flags": [], "flagCount": 0}, {"npi": "1205923802", "name": "Candler Road Dental, PC", "specialty": "Dentist, Endodontics", "city": "Decatur", "state": "GA", "totalPaid": 123835881.14, "totalClaims": 3444220, "totalBenes": 3089651, "procCount": 50, "flags": [], "flagCount": 0}, {"npi": "1659424448", "name": "Hampton Newport News Community Services Board", "specialty": "Community/Behavioral Health", "city": "Hampton", "state": "VA", "totalPaid": 123753286.38, "totalClaims": 898172, "totalBenes": 351759, "procCount": 38, "flags": [], "flagCount": 0}, {"npi": "1275907826", "name": "New Concepts for Living", "specialty": "Day Training, Developmentally Disabled Services", "city": "Paramus", "state": "NJ", "totalPaid": 123738248.47, "totalClaims": 259030, "totalBenes": 10778, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1750304044", "name": "Keystone Continuum LLC", "specialty": "Psychiatric Residential Treatment Facility", "city": "Mountain City", "state": "TN", "totalPaid": 123728018.35, "totalClaims": 15244, "totalBenes": 14619, "procCount": 5, "flags": ["unusual_cost_per_claim|spending_spike"], "flagCount": 1}, {"npi": "1386852416", "name": "Riverside University Health Systems - Medical Center", "specialty": "General Acute Care Hospital", "city": "Moreno Valley", "state": "CA", "totalPaid": 123654513.68, "totalClaims": 3661464, "totalBenes": 2956258, "procCount": 670, "flags": [], "flagCount": 0}, {"npi": "1508063710", "name": "The Board of Education of the City of Chicago", "specialty": "Local Education Agency (LEA)", "city": "Chicago", "state": "IL", "totalPaid": 123515702.1, "totalClaims": 6949070, "totalBenes": 2826333, "procCount": 22, "flags": [], "flagCount": 0}, {"npi": "1376040303", "name": "Integrated Life Choices", "specialty": "Clinic/Center, Developmental Disabilities", "city": "Littleton", "state": "CO", "totalPaid": 123450383.25, "totalClaims": 1194936, "totalBenes": 58998, "procCount": 10, "flags": [], "flagCount": 0}, {"npi": "1316450638", "name": "Wesley Family Services", "specialty": "Clinic/Center  Mental Health (Including Community Mental Health Center)", "city": "Wilkinsburg", "state": "PA", "totalPaid": 123403612.37, "totalClaims": 652317, "totalBenes": 139614, "procCount": 43, "flags": [], "flagCount": 0}, {"npi": "1649259797", "name": "Apple Homecare Medical Supply LLC", "specialty": "Durable Medical Equipment & Medical Supplies, Customized Equipment", "city": "Richardson", "state": "TX", "totalPaid": 123283400.59, "totalClaims": 1077935, "totalBenes": 994677, "procCount": 116, "flags": [], "flagCount": 0}, {"npi": "1902835663", "name": "Bayada Home Health Care Inc.", "specialty": "Home Health", "city": "Jersey City", "state": "NJ", "totalPaid": 123277284.83, "totalClaims": 1425505, "totalBenes": 71845, "procCount": 1, "flags": ["procedure_concentration"], "flagCount": 1}, {"npi": "1235446725", "name": "Best Home Care, INC", "specialty": "Home Health", "city": "Jersey City", "state": "NJ", "totalPaid": 122980600.33, "totalClaims": 1253823, "totalBenes": 66364, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1821078932", "name": "Gateway Healthcare INC", "specialty": "Day Training, Developmentally Disabled Services", "city": "Pawtucket", "state": "RI", "totalPaid": 122933601.22, "totalClaims": 794521, "totalBenes": 326964, "procCount": 32, "flags": [], "flagCount": 0}, {"npi": "1184794257", "name": "Hartford Dispensary", "specialty": "Clinic/Center, Methadone Clinic", "city": "Hartford", "state": "CT", "totalPaid": 122790417.52, "totalClaims": 10920604, "totalBenes": 511427, "procCount": 15, "flags": [], "flagCount": 0}, {"npi": "1699701383", "name": "Access Community Health Network", "specialty": "Clinic/Center, Federally Qualified Health Center (FQHC)", "city": "Chicago", "state": "IL", "totalPaid": 122700202.51, "totalClaims": 2936462, "totalBenes": 2295122, "procCount": 140, "flags": [], "flagCount": 0}, {"npi": "1265782395", "name": "Diversified Assessment & Therapy Services", "specialty": "Community/Behavioral Health", "city": "Kenova", "state": "WV", "totalPaid": 122668669.71, "totalClaims": 200819, "totalBenes": 70746, "procCount": 13, "flags": [], "flagCount": 0}, {"npi": "1891102497", "name": "Recover Together Inc.", "specialty": "Clinic/Center  Adult Mental Health", "city": "Greenfield", "state": "IN", "totalPaid": 122489039.97, "totalClaims": 2265703, "totalBenes": 1007467, "procCount": 24, "flags": [], "flagCount": 0}, {"npi": "1881692390", "name": "County of Shasta", "specialty": "Community/Behavioral Health", "city": "Redding", "state": "CA", "totalPaid": 122479054.91, "totalClaims": 338134, "totalBenes": 158338, "procCount": 35, "flags": [], "flagCount": 0}, {"npi": "1831264290", "name": "Rem Central Lakes, Inc.", "specialty": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Sartell", "state": "MN", "totalPaid": 122192370.01, "totalClaims": 506092, "totalBenes": 17147, "procCount": 8, "flags": [], "flagCount": 0}, {"npi": "1235261009", "name": "Rutland Mental Health Services", "specialty": "Clinic/Center  Developmental Disabilities", "city": "Rutland", "state": "VT", "totalPaid": 122081974.1, "totalClaims": 193737, "totalBenes": 47210, "procCount": 12, "flags": [], "flagCount": 0}, {"npi": "1003961426", "name": "Cottage Homecare, Services, INC", "specialty": "Home Health", "city": "Hicksville", "state": "NY", "totalPaid": 121886155.18, "totalClaims": 754409, "totalBenes": 32592, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1245307818", "name": "Quest Diagnostics Incorporated MD", "specialty": "Clinical Medical Laboratory", "city": "Baltimore", "state": "MD", "totalPaid": 121814554.55, "totalClaims": 8337844, "totalBenes": 7382874, "procCount": 387, "flags": [], "flagCount": 0}, {"npi": "1780600577", "name": "Mary Imogene Bassett Hospital", "specialty": "General Acute Care Hospital, Rural", "city": "Cooperstown", "state": "NY", "totalPaid": 121764268.18, "totalClaims": 1853705, "totalBenes": 1662008, "procCount": 545, "flags": [], "flagCount": 0}, {"npi": "1821232802", "name": "Alpha One", "specialty": "Case Management", "city": "South Portland", "state": "ME", "totalPaid": 121646919.85, "totalClaims": 1075311, "totalBenes": 168490, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1427005008", "name": "Emergency Coverage, LLC", "specialty": "Emergency Medicine", "city": "Newport", "state": "TN", "totalPaid": 121636680.19, "totalClaims": 2375834, "totalBenes": 2094242, "procCount": 25, "flags": [], "flagCount": 0}, {"npi": "1942256888", "name": "Holzer Hospital Foundation", "specialty": "General Acute Care Hospital  Rural", "city": "Gallipolis", "state": "OH", "totalPaid": 121513507.64, "totalClaims": 1946441, "totalBenes": 1636520, "procCount": 503, "flags": [], "flagCount": 0}, {"npi": "1902865389", "name": "Baptist Healthcare System INC", "specialty": "General Acute Care Hospital", "city": "Corbin", "state": "KY", "totalPaid": 121499801.76, "totalClaims": 2489029, "totalBenes": 1862333, "procCount": 497, "flags": [], "flagCount": 0}, {"npi": "1386854370", "name": "Arizona Consumer Direct Personal Care", "specialty": "Home Health", "city": "Tucson", "state": "AZ", "totalPaid": 121450350.33, "totalClaims": 412282, "totalBenes": 78715, "procCount": 6, "flags": [], "flagCount": 0}, {"npi": "1528190931", "name": "Port City Operating Company LLC", "specialty": "General Acute Care Hospital", "city": "Stockton", "state": "CA", "totalPaid": 121386950.7, "totalClaims": 1873230, "totalBenes": 1583103, "procCount": 330, "flags": [], "flagCount": 0}, {"npi": "1417011263", "name": "Rem Woodvale, Inc.", "specialty": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities", "city": "Owatonna", "state": "MN", "totalPaid": 121273508.22, "totalClaims": 483848, "totalBenes": 19667, "procCount": 7, "flags": [], "flagCount": 0}, {"npi": "1548266547", "name": "Baltimore Medical System INC", "specialty": "Clinic/Center  Federally Qualified Health Center (FQHC)", "city": "Baltimore", "state": "MD", "totalPaid": 121188457.17, "totalClaims": 957565, "totalBenes": 794419, "procCount": 159, "flags": ["unusual_cost_per_claim|spending_spike", "explosive_growth"], "flagCount": 2}, {"npi": "1346380870", "name": "The Brookdale Hospital Medical Center", "specialty": "General Acute Care Hospital", "city": "Brooklyn", "state": "NY", "totalPaid": 121161827.41, "totalClaims": 1973229, "totalBenes": 1712007, "procCount": 535, "flags": [], "flagCount": 0}, {"npi": "1184729493", "name": "Winslow Indian Health Care Center INC", "specialty": "Clinic/Center  Public Health  Federal", "city": "Winslow", "state": "AZ", "totalPaid": 121157577.25, "totalClaims": 234952, "totalBenes": 165589, "procCount": 17, "flags": [], "flagCount": 0}, {"npi": "1326486861", "name": "Centro DE Salud DE La Comunidad DE San Ysidro, Inc.", "specialty": "Clinic/Center, Federally Qualified Health Center (FQHC)", "city": "Chula Vista", "state": "CA", "totalPaid": 121153539.82, "totalClaims": 1189097, "totalBenes": 999192, "procCount": 141, "flags": [], "flagCount": 0}, {"npi": "1225067481", "name": "Northeast Health Services, LLC", "specialty": "Clinic/Center, Mental Health (Including Community Mental Health Center)", "city": "Taunton", "state": "MA", "totalPaid": 121149594.43, "totalClaims": 1280786, "totalBenes": 755121, "procCount": 31, "flags": [], "flagCount": 0}, {"npi": "1205083672", "name": "Icl Act Team Central Brooklyn", "specialty": "Case Management", "city": "Brooklyn", "state": "NY", "totalPaid": 121036198.16, "totalClaims": 39595, "totalBenes": 39253, "procCount": 3, "flags": [], "flagCount": 0}, {"npi": "1649209230", "name": "Public Hospital District 1 of King County", "specialty": "General Acute Care Hospital", "city": "Renton", "state": "WA", "totalPaid": 120790195.29, "totalClaims": 3297518, "totalBenes": 2649497, "procCount": 616, "flags": [], "flagCount": 0}, {"npi": "1922043744", "name": "University of Wisconsin Hospitals and Clinics Authority", "specialty": "General Acute Care Hospital", "city": "Madison", "state": "WI", "totalPaid": 120162755.91, "totalClaims": 4116346, "totalBenes": 3268901, "procCount": 963, "flags": [], "flagCount": 0}, {"npi": "1619348067", "name": "Emerest Health Cds of Missouri", "specialty": "Technician, Personal Care Attendant", "city": "Olivette", "state": "MO", "totalPaid": 119688072.33, "totalClaims": 1484866, "totalBenes": 81090, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1548393143", "name": "Independent Living Resource Center", "specialty": "Case Management", "city": "Wichita", "state": "KS", "totalPaid": 119601387.68, "totalClaims": 1295581, "totalBenes": 127303, "procCount": 4, "flags": [], "flagCount": 0}, {"npi": "1598829350", "name": "Jwch Institute, Inc.", "specialty": "Case Manager/Care Coordinator", "city": "Los Angeles", "state": "CA", "totalPaid": 119487798.5, "totalClaims": 2200577, "totalBenes": 1897936, "procCount": 270, "flags": [], "flagCount": 0}, {"npi": "1932652815", "name": "Maricopa Ambulance, LLC", "specialty": "Ambulance, Land Transport", "city": "Phoenix", "state": "AZ", "totalPaid": 119390360.48, "totalClaims": 600989, "totalBenes": 513514, "procCount": 11, "flags": [], "flagCount": 0}, {"npi": "1467469023", "name": "New York City Health and Hospitals Corporation", "specialty": "Internal Medicine", "city": "Brooklyn", "state": "NY", "totalPaid": 119272067.16, "totalClaims": 2827758, "totalBenes": 2514187, "procCount": 624, "flags": [], "flagCount": 0}]