10 flagged providers identified through statistical analysis of billing anomalies.
Flagged Providers
10
Average Risk Score
71/100
State Markup Ratio
3.8x
National avg: 3.8x
Total Medicare Payments
$10.9B
Cities with the most flagged providers based on billing anomaly analysis.
| Provider | Specialty | City | Risk Score | Total Payments | Markup |
|---|---|---|---|---|---|
| Cochlear Americas | All Other Suppliers | Lone Tree | 79 | $27.4M | 4.3x |
| Laboratory Corporation Of America | Clinical Laboratory | Englewood | 79 | $14.9M | 8.3x |
| Walgreen Co | Centralized Flu | Lakewood | 75 | $108.9M | 1.5x |
| Nauman Moazzam | Hematology-Oncology | Lakewood | 72 | $3.6M | 22.1x |
| Kristin Gundt | Nurse Practitioner | Grand Junction | 70 | $364.2K | 82.4x |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | Denver | 69 | $2.5M | 9.1x |
| Courtney Williams | Nurse Practitioner | Westminster | 68 | $4.1M | 2.6x |
| Classic Air Care Llc | Ambulance Service Provider | Steamboat Springs | 67 | $15.4M | 8.1x |
| Lisa Perez | Nurse Practitioner | 9702407734 | 67 | $300.0K | 99.3x |
| Sujatha Nallapareddy | Hematology-Oncology | Littleton | 66 | $1.4M | 23.6x |
⚠️ 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.