Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Ablenet INC

Durable Medical Equipment & Medical Supplies

Roseville, Minnesota

NPI: 1467661330

Risk Tier

High

Total Paid

$114.5M

$114,543,546

Total Claims

30K

Beneficiaries

28K

Avg Cost/Claim

$3,774.58

Statistical Fraud Flags (2)

Billing Swing

Experienced over 200% change in year-over-year billing with >$1M absolute change.

Billing changed from $11.8M (2022) to $36.7M (2023) — a 212% swing with $24.9M absolute change.

Single-Code

Billing almost exclusively for 1-2 procedure codes despite high total volume.

Bills primarily for code E2599 (2 unique codes).

Advanced Detection Signals

Suspicious Concentration

Herfindahl-Hirschman Index of 1 across 2 procedure codes — billing is highly concentrated in very few services.

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