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

Alameda Health System

Assisted Living Facility

San Leandro, California

NPI: 1235261652

Risk Tier

High

Total Paid

$30.6M

$30,621,890

Total Claims

2K

Beneficiaries

1K

Avg Cost/Claim

$19,491.97

Statistical Fraud Flags (2)

New Entrant

Started billing recently but already receiving millions in Medicaid payments.

First appeared in 2023-02 and has already billed $30.6M, averaging $1.4M/month across 22 months.

Instant Volume

New provider billing over $1M in their first year of Medicaid participation.

Billed $13.7M in first year (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