West Bay Residential Services Inc.
Day Training Developmentally Disabled Services
Warwick, Rhode Island
NPI: 1336435031
Risk Tier
Elevated
Total Paid
$145.8M
$145,845,269
Total Claims
70K
Beneficiaries
49K
Avg Cost/Claim
$2,076.89
Active billing period: 82 months (2018-01 to 2024-11)
Statistical Fraud Flags (1)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $7,528.22 per claim for T2033 (Residential care, NOS; per diem), which is 7.2× the national median of $1,051.57.
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