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

High Quality Care Nursing INC

Nursing Care

Laurel, Maryland

NPI: 1285688556

Risk Tier

High

Total Paid

$77.2M

$77,181,734

Total Claims

160K

Beneficiaries

7K

Avg Cost/Claim

$482.64

Statistical Fraud Flags (2)

Cost Outlier

Billing over 3× the national median for specific procedure codes.

Bills $487.61 per claim for T1003 (LPN/LVN services, per 15 minutes), which is 20.1× the national median of $24.24.

Single-Code

Billing almost exclusively for 1-2 procedure codes despite high total volume.

Bills primarily for code W1002 (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