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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
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Methodology•Download Data
  1. Home
  2. Specialties
  3. Internal Medicine
  4. Fraud Risk

Medicare Fraud Risk in Internal Medicine

24 flagged Internal Medicine providers identified through statistical anomaly detection.

Share:

Flagged Providers

24

of 917.6K total

Average Risk Score

72/100

Specialty Markup

2.9x

Total Payments

$77.0B

Most Common Fraud Flags

Types of billing anomalies most frequently detected among flagged Internal Medicine providers.

💰 Outlier Spending24 providers
👥 Beneficiary Stuffing24 providers
📊 Volume Anomaly24 providers
📈 High Markup22 providers

Top Flagged Internal Medicine Providers

ProviderLocationRisk ScoreTotal PaymentsMarkupFlags
Tatiana SharahyRidgewood, NJ88$5.7M197.7xoutlier spending, high markup
Jeffrey BahrMilwaukee, WI83$3.1M22.9xoutlier spending, high markup
Kashif AliGreenbelt, MD77$3.6M21.5xoutlier spending, high markup
Michael TallaricoDyer, IN76$2.7M22.9xoutlier spending, high markup
Ghassan ZalzalehOak Lawn, IL75$3.1M31.1xoutlier spending, high markup
Steven NewmanNaples, FL73$5.7M12.1xoutlier spending, high markup
Graham WatsonNewport News, VA73$1.8M29.7xoutlier spending, high markup
Hoang NguyenFountain Valley, CA73$1.5M33.7xoutlier spending, high markup
Jingdong SuTyler, TX72$1.7M24.4xoutlier spending, high markup
Deepali SharmaRiverhead, NY71$2.6M10.2xoutlier spending, high markup
James OsteenAmarillo, TX71$1.7M21.1xoutlier spending, high markup
Richard ParkGranada Hills, CA70$31.7M2.7xoutlier spending, beneficiary stuffing
Daniel BradfordRogers, AR69$2.8M11.1xoutlier spending, high markup
Lijo JohnLongview, TX69$1.3M20.9xoutlier spending, high markup
Allan KurtzWoodland Hills, CA69$497.6K49.0xoutlier spending, high markup
Amardeep AulakhFresno, CA68$3.5M10.8xoutlier spending, high markup
Andrew IliffColumbia, MO68$2.8M15.3xoutlier spending, high markup
Kamran KalpariWest Hollywood, CA68$1.4M22.9xoutlier spending, high markup
Ali EnayatiLos Angeles, CA68$1.0M18.5xoutlier spending, high markup
F. ConnerVidalia, GA68$474.4K45.0xoutlier spending, high markup
Ravindra GautamBarstow, CA67$13.0M12.0xoutlier spending, high markup
Hooman SaberiniaConcord, CA67$9.6M1.0xoutlier spending, beneficiary stuffing
Danubia HesterBrandywine, MD67$940.1K24.6xoutlier spending, high markup
Douglas LakinScottsdale, AZ67$749.8K59.4xoutlier spending, high markup

Markup by Specialty

How Internal Medicine 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.