Ma Department of Youth Services
Public Health or Welfare
Boston, Massachusetts
NPI: 1003038365
Risk Tier
Elevated
Total Paid
$72.4M
$72,407,607
Total Claims
141K
Beneficiaries
26K
Avg Cost/Claim
$514.06
Statistical Fraud Flags (1)
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code T2023 (2 unique codes).
Advanced Detection Signals
Benford's Law Anomaly
Chi-squared statistic of 2.1 — the distribution of leading digits in billing amounts deviates significantly from the expected natural pattern.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024