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

Regents of the University of Michigan

Clinic/Center, End-Stage Renal Disease (ESRD) Treatment·Ann Arbor, MI·NPI: 1003878539SharePrint Report

Red Flags Explained

Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:

Rate Outlier

Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.

These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.

Advanced Detection Signals

Additional statistical tests from advanced fraud detection methods

Billing Velocity4689.1 claims/working day

These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.

Risk Assessment

Bills $536.03 per claim for 99285 (Emergency dept visit, high/urgent complexity) — 6.3× the national median of $85.65.

Bills $211.88 per claim for 99284 (Emergency dept visit, high complexity) — 3.0× the national median of $69.51.

Bills $2,587.05 per claim for 42820 (Tonsillectomy and adenoidectomy, under age 12) — 7.8× the national median of $331.68.

Billing above the 90th percentile for 4 procedure codes simultaneously.

This is a statistical summary, not an accusation. See our methodology.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$317.8M

$317,769,537

Total Claims

8.7M

Beneficiaries

7.4M

1.2 claims/patient

Avg Cost/Claim

$37

#225 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Regents of the University of Michigan is a Clinic/Center, End-Stage Renal Disease (ESRD) Treatment provider based in Ann Arbor, MI. From the 2018–2024 period, this provider received $317.8M in Medicaid payments across 8.7M claims.

Why This Matters

This provider received $317.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 39,721 Medicaid beneficiaries for a full year at average per-enrollee costs.

5% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$41.1M
+5%
2019
$43.1M
-18%
2020
$35.1M
+38%
2021
$48.4M
+10%
2022
$53.1M
+2%
2023
$53.9M
-20%
2024
$43.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 18% of total spending.

G0463Normal range

Hospital outpatient clinic visit

$56.9M

1.2M claims · 17.9%

Your Cost: $45.72/claim|Median: $26.41
1.7× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$28.8M

54K claims · 9.1%

Your Cost: $536.03/claim|Median: $85.65
6.3× median
99284Top 10%

Emergency dept visit, high complexity

$11.3M

53K claims · 3.5%

Your Cost: $211.88/claim|Median: $69.51
3.0× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$7.6M

2K claims · 2.4%

Your Cost: $4,484.45/claim|Median: $5,391.55
0.8× median
J1569Normal range

$7.0M

5K claims · 2.2%

Your Cost: $1,387.65/claim|Median: $1,387.65
1.0× median
42820Top 10%

Tonsillectomy and adenoidectomy, under age 12

$6.1M

2K claims · 1.9%

Your Cost: $2,587.05/claim|Median: $331.68
7.8× median
Q5103Normal range

$5.9M

6K claims · 1.9%

Your Cost: $934.11/claim|Median: $1,075.28
0.9× median
99283Top 25%

Emergency dept visit, moderate complexity

$5.5M

44K claims · 1.7%

Your Cost: $123.80/claim|Median: $42.48
2.9× median
70553Top 25%

MRI brain without contrast, then with contrast

$5.4M

14K claims · 1.7%

Your Cost: $392.58/claim|Median: $133.68
2.9× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$5.2M

34K claims · 1.6%

Your Cost: $150.72/claim|Median: $75.28
2.0× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$4.8M

3K claims · 1.5%

Your Cost: $1,407.15/claim|Median: $1,587.53
0.9× median
J3380Normal range

$4.0M

2K claims · 1.2%

Your Cost: $2,428.89/claim|Median: $4,027.41
0.6× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$3.7M

17K claims · 1.2%

Your Cost: $216.40/claim|Median: $54.68
4.0× median
77386Normal range

Intensity modulated radiation treatment delivery, complex

$3.4M

13K claims · 1.1%

Your Cost: $262.93/claim|Median: $260.56
1.0× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$2.9M

38K claims · 0.9%

Your Cost: $75.15/claim|Median: $54.77
1.4× median
J2350Normal range

Ocrelizumab (Ocrevus) injection, 1 mg

$2.8M

216 claims · 0.9%

Your Cost: $13,048.33/claim|Median: $17,264.74
0.8× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$2.7M

9K claims · 0.8%

Your Cost: $285.23/claim|Median: $470.36
0.6× median
41899Top 25%

Unlisted procedure, dentoalveolar structures

$2.6M

2K claims · 0.8%

Your Cost: $1,636.84/claim|Median: $763.43
2.1× median
97530Normal range

Therapeutic activities, each 15 min

$2.5M

76K claims · 0.8%

Your Cost: $33.38/claim|Median: $33.11
1.0× median
45380Top 25%

Colonoscopy with biopsy

$2.5M

5K claims · 0.8%

Your Cost: $468.88/claim|Median: $200.68
2.3× median
97110Normal range

Therapeutic exercises, each 15 min

$2.5M

104K claims · 0.8%

Your Cost: $24.26/claim|Median: $24.49
1.0× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$2.5M

5K claims · 0.8%

Your Cost: $469.28/claim|Median: $233.73
2.0× median
J9312Normal range

$2.5M

983 claims · 0.8%

Your Cost: $2,524.24/claim|Median: $2,705.30
0.9× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$2.4M

34K claims · 0.8%

Your Cost: $72.13/claim|Median: $21.76
3.3× median
43239Top 25%

Upper GI endoscopy with biopsy

$2.4M

8K claims · 0.8%

Your Cost: $304.88/claim|Median: $151.68
2.0× median
90837Normal range

Psychotherapy, 60 minutes

$2.1M

29K claims · 0.7%

Your Cost: $70.85/claim|Median: $85.66
0.8× median
96361Normal range

IV infusion, hydration, each additional hour

$2.0M

53K claims · 0.6%

Your Cost: $37.38/claim|Median: $38.92
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.9M

34K claims · 0.6%

Your Cost: $56.34/claim|Median: $69.35
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.8M

32K claims · 0.6%

Your Cost: $56.97/claim|Median: $75.18
0.8× median
78815Top 25%

PET imaging for limited area

$1.8M

2K claims · 0.6%

Your Cost: $739.36/claim|Median: $325.10
2.3× median