Kaiser Foundation Health Plan INC
Health Maintenance Organization
Oakland, California
NPI: 1215504824
Risk Tier
Elevated
Total Paid
$12.8M
$12,770,956
Total Claims
314K
Beneficiaries
253K
Avg Cost/Claim
$40.69
Statistical Fraud Flags (1)
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 12913% from 2022 to 2023.
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