Intelliride LLC
Transportation Broker
Lombard, Illinois
NPI: 1275197055
Risk Tier
Critical
Total Paid
$297.9M
$297,879,003
Total Claims
4.6M
Beneficiaries
1.5M
Avg Cost/Claim
$65.25
Active billing period: 64 months (2019-09 to 2024-12)
Statistical Fraud Flags (5)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $1,113.06 per claim for A0434 (Ambulance, specialty care transport), which is 4.4× the national median of $252.36.
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $5.0M (2019) to $21.6M (2020) — a 337% swing with $16.7M absolute change.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 2 procedure codes: A0434 at 4.4× median, A0428 at 4.6× median.
High Cost Per Claim
Average payment per claim is much higher than peers billing the same procedures.
High Claims Per Patient
Filing an unusually high number of claims per beneficiary compared to peers.
Advanced Detection Signals
Billing Velocity
3242.4 claims per working day — may exceed physically possible volume for a single provider.
CUSUM Change Point
Billing shifted 3.7x in 2022-06 — 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