Health and Life Organization, Inc.
Pediatrics
Sacramento, California
NPI: 1427715515
Risk Tier
High
Total Paid
$38.2M
$38,175,148
Total Claims
358K
Beneficiaries
284K
Avg Cost/Claim
$106.69
Statistical Fraud Flags (2)
New Entrant
Started billing recently but already receiving millions in Medicaid payments.
First appeared in 2022-05 and has already billed $38.2M, averaging $1.2M/month across 32 months.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 831% from 2022 to 2023.
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