Spectrum Health Systems, INC
Clinic/Center, Rehabilitation, Substance Use Disorder
Worcester, Massachusetts
NPI: 1487608485
Risk Tier
Low
Total Paid
$187.4M
$187,394,553
Total Claims
7.5M
Beneficiaries
518K
Avg Cost/Claim
$25.05
Active billing period: 84 months (2018-01 to 2024-12)
No statistical risk flags detected for this provider.
Advanced Detection Signals
Billing Velocity
4047.3 claims per working day — may exceed physically possible volume for a single provider.
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