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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. States
  3. West Virginia
  4. Fraud Risk

Medicare Fraud Risk in West Virginia

0 flagged providers identified through statistical analysis of billing anomalies.

Share:

Flagged Providers

0

Average Risk Score

0/100

State Markup Ratio

3.6x

National avg: 3.8x

Total Medicare Payments

$4.1B

Compared to Neighboring States

StateFlagged ProvidersMarkup Ratio
West Virginia (this state)03.6x
Kentucky33.5x
Maryland103.3x
Ohio53.7x
Pennsylvania163.5x
Virginia223.5x

⚠️ 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.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • OpenMedicare Statistical Anomaly Detection

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.