Instant Volume
New provider billing over $1M in their first year of Medicaid participation.
Billed $8.3M in first year (2024).
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Instant Volume
Instant Volume means this provider billed over $1 million in their very first year of Medicaid participation. New providers typically ramp up gradually, so immediate high-volume billing can be a red flag.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Compared to Behavior Analyst Peers
Total spending distribution among 31 providers in this specialty
This provider's total spending of $8.3M is at the 50th percentile among 31 Behavior Analyst providers.
Total Paid
$8.3M
$8,346,805
Total Claims
31K
Beneficiaries
3,448
9.1 claims/patient
Avg Cost/Claim
$267
🔍 Analysis
Provider Overview
Hopebridge LLC is a Behavior Analyst provider based in Apex, NC. From the 2018–2024 period, this provider received $8.3M in Medicaid payments across 31K claims.
Why This Matters
This provider received $8.3M in Medicaid payments. While not among the largest billers, unusual patterns in providers of this size can still indicate systemic issues worth monitoring.
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