Patriot Home Care INC
Home Health
Philadelphia, Pennsylvania
NPI: 1649681362
Risk Tier
High
Total Paid
$135.8M
$135,805,884
Total Claims
824K
Beneficiaries
31K
Avg Cost/Claim
$164.90
Active billing period: 53 months (2020-08 to 2024-12)
Statistical Fraud Flags (2)
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $6.2M (2020) to $31.9M (2021) — a 416% swing with $25.7M absolute change.
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code W1793 (1 unique codes).
Advanced Detection Signals
Suspicious Concentration
Herfindahl-Hirschman Index of 1 across 1 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