John F Murphy Homes Inc.
Nursing Facility/Intermediate Care Facility
Auburn, Maine
NPI: 1063431070
Risk Tier
High
Total Paid
$260.0M
$260,024,323
Total Claims
631K
Beneficiaries
70K
Avg Cost/Claim
$411.82
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (2)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $966.59 per claim for H2021 (Community-based wrap-around services, per 15 min), which is 5.7× the national median of $169.11.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 2 procedure codes: H2021 at 5.7× median, H2012 at 4.0× median.
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