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

Hoang Tran Le

Internal Medicine, Pulmonary Disease

Fountain Valley, California

NPI: 1104886241

Risk Tier

ML Flag

Total Paid

$32K

$32,282

Total Claims

4,451

Beneficiaries

2,915

Avg Cost/Claim

$7.25

Active billing period: 13 months

Machine Learning Risk Score

83%

A Random Forest model trained on OIG-excluded providers scored this provider at 83.2% fraud similarity. This is a very high score, placing this provider in the top risk tier.

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