State of Connecticut
Counselor, Professional
Farmington, Connecticut
NPI: 1669466561
Risk Tier
Elevated
Total Paid
$205.9M
$205,921,864
Total Claims
6.3M
Beneficiaries
4.5M
Avg Cost/Claim
$32.64
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (1)
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 44 procedure codes: 99285 at 3.7× median, 96372 at 24.3× median.
Advanced Detection Signals
Billing Velocity
3414.3 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