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

Statistical AnalysisFebruary 17, 2026·5 min read

When the Numbers Don't Add Up: Benford's Law Analysis

Benford's Law predicts that the leading digit of naturally occurring numbers follows a specific distribution — “1” appears about 30% of the time, while “9” appears only 4.6%. Real financial data follows this pattern. Fabricated data often doesn't. We tested 617,000 providers' claim amounts. These 200 deviate the most.

4.14

Highest chi-squared

200

Flagged providers

2.21

Avg chi-squared

$3.71B

Total spending

How Benford's Law Works

In naturally occurring datasets — financial transactions, population counts, street addresses — the leading digit “1” appears far more often than “9”. This is because numbers grow logarithmically: it takes a 100% increase to go from 1xx to 2xx, but only an 11% increase to go from 8xx to 9xx. When someone fabricates numbers, they tend to distribute digits more evenly, violating this law.

Expected Leading Digit Distribution

1
30.1%
2
17.6%
3
12.5%
4
9.7%
5
7.9%
6
6.7%
7
5.8%
8
5.1%
9
4.6%

The chi-squared statistic measures how far a provider's actual digit distribution deviates from these expected values. Higher values indicate greater divergence from the natural pattern.

The Most Extreme Deviations

NPI: 1194926758 · 126 claims

4.14

chi-squared

$38.2M

total paid

126

total claims

NPI: 1942823042 · 100 claims

3.92

chi-squared

$4.5M

total paid

100

total claims

NPI: 1962068817 · 168 claims

3.67

chi-squared

$6.2M

total paid

168

total claims

NPI: 1801165170 · 125 claims

3.43

chi-squared

$6.8M

total paid

125

total claims

NPI: 1336382571 · 165 claims

3.41

chi-squared

$31.5M

total paid

165

total claims

The provider with the highest chi-squared score of 4.14 shows a leading-digit distribution that deviates significantly from what Benford's Law predicts. Across these 200 flagged providers, they collectively account for $3.71B in Medicaid payments and 28K claims.

What the Chi-Squared Statistic Means

The chi-squared test compares observed leading-digit frequencies against Benford's expected distribution. A value near 0 means the data perfectly matches the expected pattern. Values above 2.0 suggest significant deviation. Values above 3.0 are unusual enough to warrant investigation — the probability of this occurring by chance in natural data is very low.

Benford's Law has been used to detect fraud in tax returns, election results, and corporate accounting. In the context of Medicaid billing, a high chi-squared value could indicate round-number billing, repeated identical charges, or systematically inflated amounts — all patterns associated with fraudulent claims. However, legitimate explanations exist: providers with few distinct charge amounts or those who bill at fixed contract rates may naturally deviate from Benford's distribution.

Important Caveat

Deviation from Benford's Law alone is not proof of fraud. Some legitimate billing patterns — fixed-rate contracts, standardized fee schedules, or low claim counts — can produce high chi-squared values. This analysis identifies providers whose billing amounts have an unusual digit distribution, which can be a signal worth investigating alongside other indicators. It is most meaningful in combination with other anomaly flags.

Top 30 Highest Chi-Squared Providers

#ProviderChi-SquaredTotal PaidClaims
1NPI: 1194926758

NPI: 1194926758

4.1406$38.2M126
2NPI: 1942823042

NPI: 1942823042

3.9207$4.5M100
3NPI: 1962068817

NPI: 1962068817

3.6697$6.2M168
4NPI: 1801165170

NPI: 1801165170

3.4289$6.8M125
5Senior Resources of West Michigan

NPI: 1336382571

3.4079$31.5M165
6NPI: 1811155369

NPI: 1811155369

3.3175$6.7M105
7NPI: 1295071074

NPI: 1295071074

3.3116$6.1M108
8NPI: 1366568347

NPI: 1366568347

3.2998$7.3M106
9NPI: 1306244959

NPI: 1306244959

3.2636$6.2M101
10NPI: 1356476261

NPI: 1356476261

3.2344$10.7M164
11NPI: 1215422746

NPI: 1215422746

3.2072$5.8M130
12NPI: 1396931622

NPI: 1396931622

3.1783$6.5M168
13NPI: 1124456355

NPI: 1124456355

3.0682$6.1M100
14NPI: 1134227465

NPI: 1134227465

2.9791$10.4M167
15Commonsense Housing INC

NPI: 1083781991

2.9271$22.2M116
16Hope House Foundation

NPI: 1073580163

2.8926$77.9M102
17NPI: 1386060424

NPI: 1386060424

2.8663$2.0M331
18NPI: 1609921949

NPI: 1609921949

2.8551$26.1M166
19NPI: 1427440650

NPI: 1427440650

2.7703$57.8M239
20NPI: 1861886996

NPI: 1861886996

2.7567$1.5M165
21NPI: 1417075862

NPI: 1417075862

2.7420$7.1M151
22NPI: 1396063624

NPI: 1396063624

2.7358$6.0M165
23NPI: 1205966942

NPI: 1205966942

2.7145$7.4M113
24NPI: 1831332691

NPI: 1831332691

2.7047$8.0M101
25NPI: 1245387349

NPI: 1245387349

2.6875$2.0M104
26NPI: 1326162140

NPI: 1326162140

2.6771$4.5M116
27NPI: 1205954328

NPI: 1205954328

2.6238$3.6M117
28Arirang Adult Medical Day Care

NPI: 1518159920

2.5938$29.0M110
29Lighthouse, Inc.

NPI: 1982779203

2.5938$38.9M183
30NPI: 1730337304

NPI: 1730337304

2.5830$38.5M104

Key Takeaways

  • 200 providers show statistically significant deviations from Benford's Law in their billing amounts.
  • The highest chi-squared value is 4.14, far exceeding the threshold for statistical significance.
  • These 200 providers account for $3.71B in total Medicaid spending.
  • Benford's Law analysis is a screening tool, not a verdict. High chi-squared values warrant investigation but do not prove fraud on their own.