6 flagged providers identified through statistical analysis of billing anomalies.
Flagged Providers
6
Average Risk Score
73/100
State Markup Ratio
3.8x
National avg: 3.8x
Total Medicare Payments
$27.9B
Cities with the most flagged providers based on billing anomaly analysis.
| Provider | Specialty | City | Risk Score | Total Payments | Markup |
|---|---|---|---|---|---|
| Laboratory Corporation Of America Holdings | Clinical Laboratory | Burlington | 89 | $214.6M | 9.0x |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | Greensboro | 77 | $14.6M | 7.7x |
| Julia Schaefer-Cutillo | Hematology-Oncology | Elizabeth City | 74 | $4.0M | 24.0x |
| Pathgroup Labs, Llc | Clinical Laboratory | Greensboro | 67 | $24.8M | 4.2x |
| Richard Orlowski | Medical Oncology | Hickory | 67 | $1.9M | 17.8x |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | Research Triangle Park | 66 | $9.6M | 6.7x |
| State | Flagged Providers | Markup Ratio |
|---|---|---|
| North Carolina (this state) | 6 | 3.8x |
| Georgia | 5 | 4.1x |
| South Carolina | 23 | 3.7x |
| Tennessee | 6 | 3.9x |
| Virginia | 22 | 3.5x |
⚠️ 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.