Macomb Oakland Regional Center Inc.
Community/Behavioral Health
Auburn Hills, Michigan
NPI: 1023199965
Risk Tier
Elevated
Total Paid
$342.6M
$342,635,898
Total Claims
2.6M
Beneficiaries
581K
Avg Cost/Claim
$129.90
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (1)
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 26 procedure codes: T1016 at 4.7× median, H0032 at 2.8× median.
Advanced Detection Signals
CUSUM Change Point
Billing shifted 0.2x in 2021-05 — a statistically significant structural change in billing behavior was detected.
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