Huther Doyle Memorial Institute
Case Management
Rochester, New York
NPI: 1073614533
Risk Tier
Elevated
Total Paid
$73.4M
$73,395,490
Total Claims
234K
Beneficiaries
234K
Avg Cost/Claim
$313.84
Statistical Fraud Flags (1)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $316.11 per claim for G9005 (Coordinated care fee, risk-adjusted, ESRD), which is 6.7× the national median of $47.08.
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