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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid · OpenFeds · OpenSpending

© 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodology•Download Data
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  2. Fraud Analysis
  3. Watchlist

Enhanced Fraud Watchlist

0 Medicare providers flagged for statistical billing anomalies. Individuals separated from organizations to highlight truly suspicious patterns vs. large-scale lab operations.

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🤖 Looking for AI-flagged providers?

Our ML model scored 1.72M providers against 2,198 confirmed fraudsters.

See ML Model Results →

Related Fraud Analysis

🔍 Deep Dive Profiles — Top 20 highest-risk providers🧮 Impossible Numbers — Volume anomalies📊 Upcoding Detector — Code-level analysis🏠 Fraud Analysis Hub📞 Report Fraud — OIG Hotline📊 How we analyze the data →

Disclaimer: These are statistical flags based on publicly available CMS data, not accusations of fraud. Billing anomalies can have legitimate explanations. Report suspected fraud:1-800-HHS-TIPS.

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Data Sources

  • • CMS Medicare Provider Utilization and Payment Data (2014-2023)
  • • HHS Office of Inspector General

Last Updated: February 2026

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.