Red Lion Home Care
Home Health
Wynnewood, Pennsylvania
NPI: 1891290359
Risk Tier
Critical
Total Paid
$17.2M
$17,151,989
Total Claims
90K
Beneficiaries
5K
Avg Cost/Claim
$190.68
Statistical Fraud Flags (3)
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $1.7M (2023) to $15.5M (2024) — a 829% swing with $13.8M absolute change.
New Entrant
Started billing recently but already receiving millions in Medicaid payments.
First appeared in 2023-02 and has already billed $17.2M, averaging $903K/month across 19 months.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 829% from 2023 to 2024.
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