5 flagged providers identified through statistical analysis of billing anomalies.
Flagged Providers
5
Average Risk Score
76/100
State Markup Ratio
4.1x
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 |
|---|---|---|---|---|---|
| Quest Diagnostics Massachusetts Llc | Clinical Laboratory | Marlborough | 82 | $27.8M | 8.7x |
| Quest Diagnostics Llc | Clinical Laboratory | Marlborough | 82 | $27.2M | 8.9x |
| Brewster Ambulance Service Inc. | Ambulance Service Provider | Weymouth | 79 | $25.4M | 8.0x |
| American Medical Response Of Massachusetts Inc | Ambulance Service Provider | Springfield | 73 | $8.7M | 10.2x |
| Coastal Medical Transportation Services Llc | Ambulance Service Provider | Hyannis | 66 | $5.2M | 8.5x |
| State | Flagged Providers | Markup Ratio |
|---|---|---|
| Massachusetts (this state) | 5 | 4.1x |
| Connecticut | 1 | 3.7x |
| New Hampshire | 0 | 4.4x |
| New York | 39 | 3.8x |
| Rhode Island | 0 | 3.6x |
| Vermont | 0 | 3.4x |
⚠️ 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.