Norton Hospitals, INC
General Acute Care Hospital
Louisville, Kentucky
NPI: 1891799227
Risk Tier
Critical
Total Paid
$299.0M
$299,002,604
Total Claims
3.2M
Beneficiaries
2.2M
Avg Cost/Claim
$94.17
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (3)
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $1.3M (2021) to $25.7M (2022) — a 1845% swing with $24.4M absolute change.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 295 procedure codes: 99284 at 4.4× median, 99283 at 6.5× median.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 1845% from 2021 to 2022.
Advanced Detection Signals
CUSUM Change Point
Billing shifted 113.3x in 2022-10 — a statistically significant structural change in billing behavior was detected.
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