⚠️ Important Context
All data on this page comes from publicly available CMS Medicare payment records. Unusual billing patterns may reflect legitimate medical practices (such as high-volume drug administration where each unit is counted as a separate service), data reporting differences, or group practice billing. Inclusion on this page does not constitute an accusation of fraud or wrongdoing. Only law enforcement and regulatory agencies can determine whether billing patterns represent fraud. Providers flagged by our statistical model have billing patterns similar to previously convicted providers, but many may have perfectly legitimate explanations.
We analyzed 1.72 million Medicare providers across a decade of billing data. These 20 individuals have the most extreme statistical anomalies — billing patterns that, in our experience, almost always indicate fraud.
What you're about to see:
Every dollar shown is real CMS data. Every name is from public Medicare records.
Our machine learning model scored 1.72M providers using patterns from 2,198 convicted fraudsters. It flagged 500 with 86%+ match probability.
Disclaimer: These are statistical flags based on publicly available CMS data, not accusations of fraud. Billing anomalies can have legitimate explanations. If you suspect fraud, report it to the OIG Fraud Hotline: 1-800-HHS-TIPS (1-800-447-8477).
Last Updated: February 2026
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.