Los Angeles County Department of Public Health
Public Health or Welfare
Alhambra, California
NPI: 1700090834
Risk Tier
Critical
Total Paid
$1.13B
$1,125,938,944
Total Claims
15.0M
Beneficiaries
1.5M
Avg Cost/Claim
$75.06
Active billing period: 83 months (2018-01 to 2024-11)
Statistical Fraud Flags (3)
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 7 procedure codes: T1007 at 4.7× median, H0001 at 5.0× median.
Unusually High Spending
This provider's total payments are significantly above the median for their specialty.
Spending Spike
Experienced a dramatic increase in billing over a short period.
Advanced Detection Signals
Billing Velocity
8214.5 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