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

Quality One Care Home Health Inc.

Home Health

Silver Spring, Maryland

NPI: 1528351285

Risk Tier

Elevated

Total Paid

$61.8M

$61,799,222

Total Claims

104K

Beneficiaries

7K

Avg Cost/Claim

$594.08

Statistical Fraud Flags (1)

Cost Outlier

Billing over 3× the national median for specific procedure codes.

Bills $578.45 per claim for T1003 (LPN/LVN services, per 15 minutes), which is 23.9× the national median of $24.24.

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