16 flagged providers identified through statistical analysis of billing anomalies.
Flagged Providers
16
Average Risk Score
72/100
State Markup Ratio
3.5x
National avg: 3.8x
Total Medicare Payments
$34.5B
Cities with the most flagged providers based on billing anomaly analysis.
| Provider | Specialty | City | Risk Score | Total Payments | Markup |
|---|---|---|---|---|---|
| Pentec Health Inc | Pharmacy | Upper Chichester | 80 | $4.4M | 6.5x |
| Cardionet, Llc | Independent Diagnostic Testing Facility (IDTF) | Malvern | 79 | $11.0M | 26.4x |
| Quest Diagnostics Of Pennsylvania, Inc. | Clinical Laboratory | Pittsburgh | 78 | $11.3M | 8.9x |
| Scot Paris | General Surgery | Pottstown | 77 | $1.0M | 48.1x |
| Health Network Laboratories, Llc | Clinical Laboratory | Allentown | 75 | $12.5M | 6.7x |
| Quest Diagnostics Venture Llc | Clinical Laboratory | Pittsburgh | 75 | $7.2M | 8.8x |
| Associated Clinical Laboratories | Clinical Laboratory | Erie | 72 | $3.8M | 8.5x |
| Silverpath, Inc. | Clinical Laboratory | Blue Bell | 70 | $41.9M | 1.2x |
| Bruce Saidman | Medical Oncology | Kingston | 69 | $3.4M | 14.5x |
| Barry Jacobson | Obstetrics & Gynecology | Drexel Hill | 69 | $3.0M | 3.1x |
| David Greenwald | Medical Oncology | Kingston | 69 | $2.7M | 14.9x |
| Jennifer Weed | Nurse Practitioner | Abington | 67 | $413.1K | 49.3x |
| Carmen Cheng | Physician Assistant | Horsham | 67 | $370.2K | 46.7x |
| Padmaja Bojanapally | Hematology-Oncology | Dunmore | 66 | $2.0M | 19.9x |
| John Devlin | Hematology | Bryn Mawr | 66 | $2.0M | 15.9x |
| Carl Barsigian | Hematology-Oncology | Dunmore | 66 | $1.4M | 20.9x |
| State | Flagged Providers | Markup Ratio |
|---|---|---|
| Pennsylvania (this state) | 16 | 3.5x |
| Delaware | 1 | 3.4x |
| Maryland | 10 | 3.3x |
| New Jersey | 15 | 3.9x |
| New York | 39 | 3.8x |
| Ohio | 5 | 3.7x |
| West Virginia | 0 | 3.6x |
⚠️ 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.