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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. Pathology
  4. Fraud Risk

Medicare Fraud Risk in Pathology

3 flagged Pathology providers identified through statistical anomaly detection.

Share:

Flagged Providers

3

of 116.7K total

Average Risk Score

68/100

Specialty Markup

4.6x

Total Payments

$9.8B

Most Common Fraud Flags

Types of billing anomalies most frequently detected among flagged Pathology providers.

💰 Outlier Spending3 providers
👥 Beneficiary Stuffing3 providers
📊 Volume Anomaly3 providers

Top Flagged Pathology Providers

ProviderLocationRisk ScoreTotal PaymentsMarkupFlags
Wilfredo BlasiniFort Myers, FL70$16.9M3.5xoutlier spending, beneficiary stuffing
Ryan OlsonFort Myers, FL68$12.8M3.4xoutlier spending, beneficiary stuffing
Robyn OlneyDallas, TX66$7.7M6.7xoutlier spending, beneficiary stuffing

Markup by Specialty

How Pathology 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.