Guardiantrac. LLC
Community/Behavioral Health
Sturgis, Michigan
NPI: 1710176151
Risk Tier
Critical
Total Paid
$2.68B
$2,683,634,592
Total Claims
35.6M
Beneficiaries
2.4M
Avg Cost/Claim
$75.47
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (3)
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.
Advanced Detection Signals
Billing Velocity
19241.1 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