Guardiantrac. LLC
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 13 procedure codes: T1004 at 2.5× median, T1002 at 6.1× median.
Unusually High Spending
This provider's total payments are significantly above the median for their specialty.
High Claims Per Patient
Filing an unusually high number of claims per beneficiary compared to peers.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
Unusually High Spending
Unusually High Spending means this provider's total Medicaid payments are significantly above the median for their specialty. This doesn't necessarily indicate fraud — high volume practices and those serving complex populations may legitimately bill more.
High Claims Per Patient
High Claims Per Patient means this provider files an unusually high number of claims per individual patient. This could indicate legitimate intensive treatment or a pattern of billing for services not actually rendered.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Advanced Detection Signals
Additional statistical tests from advanced fraud detection methods
These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.
Risk Assessment
Bills $226.43 per claim for T1002 (RN services, per 15 minutes) — 6.0× the national median of $37.42.
Billing above the 90th percentile for 3 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Compared to Community/Behavioral Health Peers
Total spending distribution among 218 providers in this specialty
This provider's total spending of $2.68B is at the 99th percentile among 218 Community/Behavioral Health providers.
Above 99th percentile for this specialty — higher spending than 215 of 218 peers
Total Paid
$2.68B
$2,683,634,592
Total Claims
35.6M
Beneficiaries
2.4M
14.6 claims/patient
Avg Cost/Claim
$75
#6 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Guardiantrac. LLC is a Community/Behavioral Health provider based in Sturgis, MI. From the 2018–2024 period, this provider received $2.7B in Medicaid payments across 35.6M claims.
Why This Matters
This provider received $2.7B in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 335,454 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 31% of total spending.
$825.6M
12.4M claims
$66.68
$82.47
Personal care services, per 15 min
$825.6M
12.4M claims · 30.8%
Companion care, adult, per diem
$649.1M
6.1M claims · 24.2%
$262.5M
4.1M claims
$64.53
$82.34
Attendant care services, per 15 min
$262.5M
4.1M claims · 9.8%
$208.0M
5.9M claims
$35.01
$48.76
Homemaker service, NOS; per 15 min
$208.0M
5.9M claims · 7.8%
$201.7M
2.3M claims
$89.08
$96.24
Comprehensive community support services, per 15 min
$201.7M
2.3M claims · 7.5%
$79.7M
724K claims
$110.18
$88.93
Specialized transportation, waiver, per trip, extra
$79.7M
724K claims · 3.0%
$68.6M
234K claims
$293.41
$156.98
Attendant care services, per diem
$68.6M
234K claims · 2.6%
$52.6M
328K claims
$160.35
$158.23
Habilitation, residential, waiver, per hour
$52.6M
328K claims · 2.0%
$38.0M
369K claims
$102.88
$84.46
Unskilled respite care, per 15 min
$38.0M
369K claims · 1.4%
$37.6M
427K claims
$88.18
$108.97
Financial management, self-directed; per month
$37.6M
427K claims · 1.4%
$33.7M
145K claims
$232.36
$102.01
Homemaker service, NOS, per diem
$33.7M
145K claims · 1.3%
$30.2M
371K claims
$81.34
$71.40
Respite care services, per 15 minutes
$30.2M
371K claims · 1.1%
$23.6M
233K claims
$101.10
$124.39
Waiver services, NOS; per 15 min
$23.6M
233K claims · 0.9%
$23.2M
261K claims
$88.57
$88.91
Habilitation, prevocational, waiver; per 15 min
$23.2M
261K claims · 0.9%
$22.4M
184K claims
$121.67
$79.30
Specialized supply, NOS; per unit
$22.4M
184K claims · 0.8%
$21.3M
246K claims
$86.67
$150.51
Day habilitation, waiver; per 15 min
$21.3M
246K claims · 0.8%
$17.5M
137K claims
$127.49
$50.30
Services of a qualified nursing aide, per 15 minutes
$17.5M
137K claims · 0.7%
$12.6M
264K claims
$47.93
$21.70
Non-emergency transport; encounter/trip
$12.6M
264K claims · 0.5%
Supported housing, per diem
$10.9M
61K claims · 0.4%
$9.3M
59K claims
$156.81
$137.32
Habilitation, residential, waiver; 15 min
$9.3M
59K claims · 0.3%
$7.0M
42K claims
$167.10
$177.54
Habilitation, educational; per 15 min
$7.0M
42K claims · 0.3%
$6.3M
44K claims · 0.2%
RN services, per 15 minutes
$4.3M
19K claims · 0.2%
$3.6M
57K claims
$62.86
$302.34
Companion care, adult, per 15 minutes
$3.6M
57K claims · 0.1%
$3.4M
163K claims
$20.60
$21.33
Non-invasive prenatal screening, fetal chromosomal abnormalities
$3.4M
163K claims · 0.1%
$3.0M
32K claims
$91.68
$87.34
Day habilitation, waiver; per diem
$3.0M
32K claims · 0.1%
$2.8M
45K claims
$63.35
$162.29
Supports brokerage, self-directed; per 15 min
$2.8M
45K claims · 0.1%
$2.5M
36K claims
$67.50
$83.88
Skills training & development, per 15 min
$2.5M
36K claims · 0.1%
$2.1M
19K claims
$110.16
$100.49
Ongoing support to maintain employment, per 15 min
$2.1M
19K claims · 0.1%
Emergency response system, per month
$1.6M
18K claims · 0.1%
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