Search by name or NPI to see if your healthcare provider appears on any of our AI-flagged fraud risk lists, the statistical watchlist, or the LEIE exclusion list.
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This tool is based on statistical analysis of publicly available Medicare claims data. Appearing on these lists does not mean a provider has committed fraud. Many flagged providers may have legitimate reasons for unusual billing patterns, such as treating complex patient populations or operating in specialized practice areas. This information is provided for transparency and public awareness only. It should not be used as the sole basis for choosing or avoiding a healthcare provider.
🤖 ML-Flagged List (500 providers): Our machine learning model analyzed billing patterns across 1.2 million Medicare providers and flagged 500 with an 86%+ probability of fraudulent activity.
📊 Statistical Watchlist: Providers with extreme statistical outlier billing — payments, services-per-beneficiary, or markup ratios far above their peers.
🚫 LEIE Exclusion List: Providers formally excluded from federal healthcare programs by the HHS Office of Inspector General.