Unknown Provider 1912173402
NPI: 1912173402
Risk Tier
ML Flag
Total Paid
$107K
$106,724
Total Claims
2,660
Beneficiaries
2,016
Avg Cost/Claim
$40.12
Active billing period: 15 months
Machine Learning Risk Score
A Random Forest model trained on OIG-excluded providers scored this provider at 82.1% fraud similarity. This is a very high score, placing this provider in the top risk tier.
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