Dayton Children's Hospital
General Acute Care Hospital, Children
Dayton, Ohio
NPI: 1457379448
Risk Tier
Elevated
Total Paid
$290.6M
$290,632,681
Total Claims
3.0M
Beneficiaries
2.5M
Avg Cost/Claim
$96.21
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (1)
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 176 procedure codes: 99214 at 2.8× median, 99213 at 3.6× median.
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