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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. Family Practice
  4. Fraud Risk

Medicare Fraud Risk in Family Practice

12 flagged Family Practice providers identified through statistical anomaly detection.

Share:

Flagged Providers

12

of 804.1K total

Average Risk Score

74/100

Specialty Markup

2.8x

Total Payments

$44.3B

Most Common Fraud Flags

Types of billing anomalies most frequently detected among flagged Family Practice providers.

💰 Outlier Spending12 providers
👥 Beneficiary Stuffing12 providers
📊 Volume Anomaly12 providers
📈 High Markup11 providers

Top Flagged Family Practice Providers

ProviderLocationRisk ScoreTotal PaymentsMarkupFlags
Rahul KhapekarPark Ridge, IL83$5.2M18.8xoutlier spending, high markup
Edwin ChoiLos Angeles, CA80$1.8M58.5xoutlier spending, high markup
Edwin YauMonterey Park, CA79$2.2M98.8xoutlier spending, high markup
John HillDeland, FL78$1.2M41.0xoutlier spending, high markup
Rajesh IyengarChicago, IL76$1.2M61.2xoutlier spending, high markup
Anselmo MendiveMiami Gardens, FL74$1.4M25.4xoutlier spending, high markup
Min WuTurlock, CA72$1.1M25.0xoutlier spending, high markup
Simon FensterszaubBrooklyn, NY71$14.8M3.7xoutlier spending, beneficiary stuffing
Mehrdad PakdamanLos Angeles, CA71$1.3M218.9xoutlier spending, high markup
Ayesha SiddiquiNew York, NY69$2.4M13.5xoutlier spending, high markup
Brian TysonEl Centro, CA69$709.7K38.5xoutlier spending, high markup
Lindita HobdariNaples, FL67$1.2M15.2xoutlier spending, high markup

Markup by Specialty

How Family Practice 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.