Byram Healthcare Centers, Inc.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 51 procedure codes: A4239 at 4.8× median, A4351 at 2.2× median.
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:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $354.15 per claim for A4239 (Supply allowance for non-insulin pump CGM, per month) — 4.8× the national median of $73.75.
Bills $286.21 per claim for K0553 (Supply allowance for therapeutic CGM, per month) — 5.4× the national median of $53.20.
Bills $442.61 per claim for T5999 — 54.4× the national median of $8.13.
Billing above the 90th percentile for 4 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Compared to Durable Medical Equipment & Medical Supplies Peers
Total spending distribution among 35 providers in this specialty
This provider's total spending of $271.8M is at the 75th percentile among 35 Durable Medical Equipment & Medical Supplies providers.
Total Paid
$271.8M
$271,781,216
Total Claims
3.9M
Beneficiaries
3.7M
1.0 claims/patient
Avg Cost/Claim
$70
#291 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Byram Healthcare Centers, Inc. is a Durable Medical Equipment & Medical Supplies provider based in Torrance, CA. From the 2018–2024 period, this provider received $271.8M in Medicaid payments across 3.9M claims.
Why This Matters
This provider received $271.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 33,972 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (A4239 (Supply allowance for non-insulin pump CGM, per month)) accounts for 13% of total spending.
$36.0M
102K claims
$354.15
$73.75
Supply allowance for non-insulin pump CGM, per month
$36.0M
102K claims · 13.2%
$21.6M
83K claims
$260.99
$116.15
Intermittent urinary catheter, straight tip, each
$21.6M
83K claims · 8.0%
$16.4M
556K claims
$29.44
$41.28
Pediatric-sized disposable incontinence product, large
$16.4M
556K claims · 6.0%
$15.0M
359K claims
$41.70
$42.03
Adult-sized disposable underpads/pads, large
$15.0M
359K claims · 5.5%
$12.6M
44K claims
$286.21
$53.20
Supply allowance for therapeutic CGM, per month
$12.6M
44K claims · 4.6%
$11.9M
248K claims
$48.15
$99.53
Adult-sized disposable incontinence product, large
$11.9M
248K claims · 4.4%
$11.5M
266K claims
$43.36
$88.94
Adult-sized disposable incontinence product, medium
$11.5M
266K claims · 4.2%
$9.6M
163K claims
$59.09
$105.14
Adult-sized disposable incontinence product, extra-large
$9.6M
163K claims · 3.5%
$8.4M
110K claims
$76.19
$96.13
Adult-sized disposable incontinence product, brief/diaper, small
$8.4M
110K claims · 3.1%
$6.9M
11K claims
$647.47
$508.29
Intermittent urinary catheter, with insertion supplies
$6.9M
11K claims · 2.5%
$6.0M
62K claims
$97.27
$110.54
Adult-sized disposable underpads/pads, small
$6.0M
62K claims · 2.2%
$6.0M
12K claims · 2.2%
$5.7M
20K claims
$289.43
$294.58
Breath test analyzer, FDA approved, disposable
$5.7M
20K claims · 2.1%
$5.6M
74K claims
$76.58
$108.31
Adult-sized disposable incontinence product, brief/diaper, medium
$5.6M
74K claims · 2.1%
$5.6M
4K claims
$1,441.91
$1,188.30
External ambulatory infusion pump, insulin
$5.6M
4K claims · 2.0%
$5.5M
98K claims
$56.55
$84.50
Adult-sized disposable incontinence product, brief/diaper, above XL
$5.5M
98K claims · 2.0%
$5.0M
15K claims · 1.8%
$4.3M
10K claims · 1.6%
$4.2M
42K claims · 1.5%
Breast pump, electric, any type
$4.0M
43K claims · 1.5%
$3.5M
7K claims · 1.3%
$3.2M
33K claims
$96.57
$136.09
Infusion supplies, non-chemotherapy, per visit
$3.2M
33K claims · 1.2%
$2.8M
14K claims
$199.34
$104.06
Durable medical equipment, miscellaneous
$2.8M
14K claims · 1.0%
$2.6M
25K claims · 0.9%
$2.5M
19K claims · 0.9%
$2.2M
15K claims · 0.8%
$2.1M
36K claims · 0.8%
$1.9M
20K claims · 0.7%
$1.7M
42K claims · 0.6%
$1.6M
26K claims · 0.6%
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