Seven Hills Family Services, Incorporated
Home Health
Worcester, Massachusetts
NPI: 1316079916
Risk Tier
High
Total Paid
$62.5M
$62,527,608
Total Claims
881K
Beneficiaries
30K
Avg Cost/Claim
$71.00
Statistical Risk Flags (2)
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code S5140 (1 unique codes).
Consistent Billing
Monthly billing amounts show almost no natural variation (CV < 0.1).
Monthly billing coefficient of variation: 0.0634 (near-zero variation).
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