Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Caring Professional Services INC

Home Health

Hialeah, Florida

NPI: 1871546648

Risk Tier

High

Total Paid

$159.7M

$159,685,705

Total Claims

5.1M

Beneficiaries

237K

Avg Cost/Claim

$31.09

Active billing period: 73 months (2018-12 to 2024-12)

Statistical Fraud Flags (2)

Billing Swing

Experienced over 200% change in year-over-year billing with >$1M absolute change.

Billing changed from $1.2M (2018) to $18.7M (2019) — a 1473% swing with $17.5M absolute change.

Explosive Growth

Billing increased over 500% year-over-year — far beyond normal growth patterns.

Billing grew 1473% from 2018 to 2019.

Advanced Detection Signals

Billing Velocity

3197.9 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