Neighborhood Healthcare
Clinic/Center, Federally Qualified Health Center (FQHC)
Hemet, California
NPI: 1154786846
Risk Tier
Elevated
Total Paid
$160.4M
$160,418,317
Total Claims
932K
Beneficiaries
761K
Avg Cost/Claim
$172.16
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (1)
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 527% from 2019 to 2020.
Advanced Detection Signals
CUSUM Change Point
Billing shifted 15.9x in 2020-06 — 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