American Healthcare Afc LLC
Home Health
Northborough, Massachusetts
NPI: 1255791349
Risk Tier
Elevated
Total Paid
$70.7M
$70,724,189
Total Claims
436K
Beneficiaries
33K
Avg Cost/Claim
$162.05
Statistical Risk Flags (1)
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code T1028 (2 unique codes).
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