Dr. Joyce Ravain exhibits concerning billing patterns, with extremely high Medicare services and payments per beneficiary, suggesting potential fraud. Although her specialty may involve high patient traffic, the level of billing is disproportionate to industry norms, raising significant red flags.
The provider's drug cost per beneficiary is exceptionally high, indicating potential overprescription or inappropriate billing practices. The total number of services provided and payments received also suggest unusual billing patterns relative to peers in the same specialty.
Dr. Darnell Blackmon displays extraordinarily high service and payment metrics compared to typical orthopedic surgeons, raising significant concerns about potential billing fraud. Additionally, ongoing legal challenges for malpractice further underscore the need for scrutiny.
Dr. Andrew Leavitt exhibits highly alarming billing patterns, with services rendered per beneficiary being significantly above the national average. Additionally, the overall Medicare payments alongside drug costs raise suspicion of potential fraudulent activity.
Dr. Frank Curvin's billing patterns show an extremely high volume of services provided to his Medicare beneficiaries, indicating potential overbilling or inappropriate billing practices. Given the total payments and services per beneficiary, it suggests that there may be systemic issues with the way services are documented or billed.
Dr. Wright's provider profile shows extremely high drug costs per beneficiary, leading to a fraud score of 1.000. This raises red flags, though the nature of his specialty and his considerable experience may provide legitimate explanations for the billing patterns.
The provider exhibits an unusually high volume of services and payments per beneficiary, indicating potential billing anomalies. There are no identified legitimate explanations for the elevated metrics, raising concerns about the legitimacy of the claims.
The provider exhibits a highly unusual billing pattern with an average of 76.7 services per beneficiary, indicating potential overbilling. The combination of extreme service volume and total payments raises significant concerns about the legitimacy of the billed services.
Dr. Brandon Hardesty exhibits highly atypical billing patterns characteristic of fraud, including an extraordinarily high services per beneficiary rate and significant payments per beneficiary. The high opioid prescribing rate raises concerns about the nature of the practices engaged in.
Dr. William Price exhibits an extremely high volume of services billed per beneficiary, significantly exceeding typical levels for family practice. This pattern raises serious concerns about the legitimacy of the services being provided.
Dr. Frederick Sabido's billing patterns show an unusually high volume of services per beneficiary, which raises significant concern for potential fraudulent activities. Additionally, while legitimate explanations exist due to his surgical specialty, the combination of high service volume and payments indicates a strong likelihood of billing fraud.
The provider, Bethany Jameson, is facing serious legal accusations with a federal indictment tied to significant Medicare fraud, which is corroborated by alarming billing statistics. The extremely high number of services billed per beneficiary and total payments further point towards a pattern consistent with fraudulent activity rather than legitimate medical practice.
Provider William Barnhill has been flagged for a 1.000 prescribing rate of long-acting opioids, which is significantly high, suggesting potential pill mill activities. Additionally, the drug cost per beneficiary is also elevated, confirming concerns about extreme drug expenditures.
Dr. Albert Zant's billing patterns exhibit extreme service volume and excessive payments per beneficiary, strongly indicating potential fraud. Despite his extensive experience, the metrics suggest a concerning level of service provision that does not align with typical anesthesiology practices.
Dr. Michael Morris exhibits alarming billing patterns indicative of potential fraud, including extremely high service volume and payments per beneficiary. Additionally, there is a documented history of misconduct related to healthcare service utilization.
Dr. Khan Nedd has an extremely high number of services billed per beneficiary and total payments, raising concerns about the validity of these claims. The drug cost per beneficiary is particularly alarming, suggesting potential overprescribing or inappropriate billing practices.
The provider exhibits an extremely high volume of services billed per beneficiary, suggesting potential exploitation of the Medicare system. The total payments received are significantly above average for the specialty, raising further suspicion.
Dr. Yelena Ginzburg has been flagged for extreme drug spending per beneficiary, which is a potential red flag. However, her specialty and affiliation with an academic center might justify high drug costs due to the nature of her patient population and treatment requirements.
Dr. Heidi Jacobe has a high fraud score primarily due to an elevated long-acting opioid prescribing rate, which is unusual for a dermatologist. Despite her academic credentials and hospital affiliations, the prescribing pattern raises concerns.
The provider shows extremely high drug spending patterns relative to a small beneficiary pool, resulting in an alarming fraud score. Additionally, the low number of services per beneficiary and total Medicare payments suggest potential overutilization or inappropriate billing practices.
Dr. Jenna Butner exhibits alarming prescribing patterns, particularly concerning opioids and drug spending. Though her specialty could explain some of these figures, the extremity of the metrics strongly suggests a higher likelihood of fraudulent activity.
Melissa Rademacher's billing practices show significantly elevated service and payment metrics compared to typical standards for CRNAs. The combination of extreme billing volume and high payments per beneficiary suggests potential fraudulent activity.
Dr. Sherman Washington has an extremely high service volume per beneficiary and excessive Medicare payments compared to industry norms, raising significant concerns regarding billing practices. Despite the potential for legitimate reasons related to specialty and patient complexity, the indicators strongly suggest fraudulent activity.
Dr. Gabrielle Rocque has a notably high long-acting opioid prescribing rate, suggesting potential concerns regarding inappropriate prescribing practices characteristic of pill mills. Additionally, her high drug cost per beneficiary indicates excessive spending patterns that warrant further scrutiny.
Dr. Jason Deutsch exhibits extraordinarily high billing patterns with over 77,000 services billed for only 145 beneficiaries. This level of billing is significantly above the norm for emergency medicine specialists, raising substantial concern for potential fraudulent activity.