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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.
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Methodology•Download Data
  1. Home
  2. Specialties
  3. Centralized Flu
  4. Fraud Risk

Medicare Fraud Risk in Centralized Flu

8 flagged Centralized Flu providers identified through statistical anomaly detection.

Share:

Flagged Providers

8

of 102.7K total

Average Risk Score

71/100

Specialty Markup

1.2x

Total Payments

$4.2B

Most Common Fraud Flags

Types of billing anomalies most frequently detected among flagged Centralized Flu providers.

💰 Outlier Spending8 providers
👥 Beneficiary Stuffing8 providers
📊 Volume Anomaly8 providers

Top Flagged Centralized Flu Providers

ProviderLocationRisk ScoreTotal PaymentsMarkupFlags
Walgreen CoLakewood, CO75$108.9M1.5xoutlier spending, beneficiary stuffing
Safeway IncBoise, ID75$76.1M1.5xoutlier spending, beneficiary stuffing
Vaxcare CorporationOrlando, FL74$45.5M1.6xoutlier spending, beneficiary stuffing
Albertsons LlcBoise, ID72$29.0M1.5xoutlier spending, beneficiary stuffing
American Drug Stores LlcBoise, ID71$27.3M1.4xoutlier spending, beneficiary stuffing
Vons Companies IncBoise, ID67$12.7M1.4xoutlier spending, beneficiary stuffing
Nai Saturn Eastern LlcBoise, ID67$12.6M1.4xoutlier spending, beneficiary stuffing
Acme Markets IncBoise, ID66$9.5M1.4xoutlier spending, beneficiary stuffing

Markup by Specialty

How Centralized Flu markup compares to other specialties.

Anesthesiology Assistant
12.2x
Dental Anesthesiology
12.2x
Certified Registered Nurse Anesthetist (CRNA)
9.7x
Anesthesiologist Assistants
9.6x
Anesthesiology
8.8x
CRNA
7.4x
Emergency Medicine
7.1x
Radiation Therapy Center
7.1x
Radiation Therapy
6.1x
Ambulatory Surgical Center
6.1x
Independent Diagnostic Testing Facility (IDTF)
6.1x
Neurosurgery
5.9x
Independent Diagnostic Testing Facility
5.5x
Diagnostic Radiology
5.4x
Interventional Radiology
5.1x

⚠️ Disclaimer: Being flagged does not imply fraud. These providers were identified through statistical analysis of billing patterns that deviate significantly from peers. Unusual billing may have legitimate explanations. This data is provided for transparency and public accountability purposes only.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • OpenMedicare Statistical Anomaly Detection

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