12 flagged providers identified through statistical analysis of billing anomalies.
Flagged Providers
12
Average Risk Score
72/100
State Markup Ratio
3.5x
National avg: 3.8x
Total Medicare Payments
$21.8B
Cities with the most flagged providers based on billing anomaly analysis.
| Provider | Specialty | City | Risk Score | Total Payments | Markup |
|---|---|---|---|---|---|
| Sonora Quest Laboratories Llc | Clinical Laboratory | Phoenix | 84 | $57.8M | 7.1x |
| Laboratory Corporation Of America | Clinical Laboratory | Phoenix | 84 | $38.5M | 9.1x |
| Ahmed Akl | Obstetrics & Gynecology | Scottsdale | 74 | $321.2K | 27.8x |
| Iyad Hamarneh | Hematology-Oncology | Prescott Valley | 73 | $3.5M | 29.5x |
| Allan Espinosa Morazan | Medical Oncology | Prescott | 73 | $2.2M | 28.8x |
| Caris Mpi, Inc. | Clinical Laboratory | Phoenix | 71 | $97.4M | 1.3x |
| Mayo Clinic Arizona | Clinical Laboratory | Scottsdale | 70 | $3.1M | 8.9x |
| Lisa Sproat | Hematopoietic Cell Transplantation and Cellular Therapy | Scottsdale | 68 | $1.9M | 14.8x |
| Douglas Lakin | Internal Medicine | Scottsdale | 67 | $749.8K | 59.4x |
| Genetic Technological Innovations, Llc | Clinical Laboratory | Scottsdale | 66 | $21.5M | 1.7x |
| Alan Langerak | Hematology-Oncology | Prescott | 66 | $2.7M | 19.6x |
| Allison Rosenthal | Hematology | Scottsdale | 66 | $1.9M | 13.2x |
| State | Flagged Providers | Markup Ratio |
|---|---|---|
| Arizona (this state) | 12 | 3.5x |
| California | 78 | 3.7x |
| Colorado | 10 | 3.8x |
| New Mexico | 1 | 3.7x |
| Nevada | 9 | 4.3x |
| Utah | 1 | 3.2x |
⚠️ 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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.