New England Emergency Response Systems INC
Emergency Response System Companies
Southfield, Michigan
NPI: 1700901725
Risk Tier
Critical
Total Paid
$264.1M
$264,102,390
Total Claims
12.5M
Beneficiaries
804K
Avg Cost/Claim
$21.19
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (5)
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $15.9M (2018) to $110.1M (2019) — a 593% swing with $94.2M absolute change.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 3 procedure codes: A0130 at 2.9× median, 99199 at 10.0× median.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 593% from 2018 to 2019.
High Claims Per Patient
Filing an unusually high number of claims per beneficiary compared to peers.
Spending Spike
Experienced a dramatic increase in billing over a short period.
Advanced Detection Signals
Billing Velocity
6743.5 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