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Top 50 Highest-Risk Providers

Ranked by statistical fraud risk score. Scores reflect billing anomalies, enrollment patterns, and cross-referencing with public records — not proof of wrongdoing.

#	Provider	Location	Total Received	Top Anomaly	Risk
1	Andrew Kellermann Leland, NC	Leland, NC	$449,266.47	Address Mill — High-Volume Shared Address	100	View →
2	Monica Harms Laguna Hills, CA	Laguna Hills, CA	$127,385.64	Inflated Per-Service Billing — High Avg Allowed Amount	100	View →
3	Deborah Oakley East Patchogue, NY	East Patchogue, NY	$81,164.56	Address Mill — High-Volume Shared Address	100	View →
4	James Mccaffrey Horsham, PA	Horsham, PA	$244,480.74	Address Mill — High-Volume Shared Address	100	View →
5	Timothy Hiebert Moss Point, MS	Moss Point, MS	$87,182.94	Inflated Per-Service Billing — High Avg Allowed Amount	100	View →
6	Daniel Lin Doylestown, PA	Doylestown, PA	$188,644.91	Inflated Per-Service Billing — High Avg Allowed Amount	100	View →
7	James Adams Leland, NC	Leland, NC	$569,643.18	Billing 2134% above state median for Medicare	100	View →
8	Mashroor Jahan Houston, TX	Houston, TX	$98,545.96	Billing 258% above state median for Medicare	100	View →
9	Michel Fernandez Brentwood, TN	Brentwood, TN	$60,553.36	Inflated Per-Service Billing — High Avg Allowed Amount	100	View →
10	Jumin Sunde Little Rock, AR	Little Rock, AR	$145,106.54	Billing 352% above state median for Medicare	100	View →
11	Sweta Shah Toms River, NJ	Toms River, NJ	$168,636.49	Billing 299% above state median for Medicare	100	View →
12	Sara Wilson Charleston, SC	Charleston, SC	$71,055.8	Inflated Per-Service Billing — High Avg Allowed Amount	100	View →
13	John Furrey Langhorne, PA	Langhorne, PA	$124,659.76	Inflated Per-Service Billing — High Avg Allowed Amount	100	View →
14	Naresh Kumar Trenton, NJ	Trenton, NJ	$123,383.68	High provider concentration in zip 08629	100	View →
15	David Mobley New York, NY	New York, NY	$1,068,493.11	Address Mill — High-Volume Shared Address	100	View →
16	Rajesh Sonani Henderson, NV	Henderson, NV	$108,905.4	Billing 230% above state median for Medicare	100	View →
17	Gary Riddle Newburgh, IN	Newburgh, IN	$103,394.48	Address Mill — High-Volume Shared Address	100	View →
18	John Kunkel Youngstown, OH	Youngstown, OH	$72,244.57	Inflated Per-Service Billing — High Avg Allowed Amount	100	View →
19	Farah Masood Sunnyvale, TX	Sunnyvale, TX	$124,839.48	Inflated Per-Service Billing — High Avg Allowed Amount	100	View →
20	Colleen Sas Rocky River, OH	Rocky River, OH	$104,619.74	Inflated Per-Service Billing — High Avg Allowed Amount	100	View →
21	Zahra Qamar Abington, PA	Abington, PA	$64,055.7	Inflated Per-Service Billing — High Avg Allowed Amount	100	View →
22	Tori Clements Austin, TX	Austin, TX	$101,098.22	Address Mill — High-Volume Shared Address	100	View →
23	Town Of Beloit Beloit, WI	Beloit, WI	$70,207.28	Inflated Per-Service Billing — High Avg Allowed Amount	100	View →
24	Theresa Wyrick Little Rock, AR	Little Rock, AR	$195,457.51	Billing 509% above state median for Medicare	100	View →
25	Sean Novak Santa Barbara, CA	Santa Barbara, CA	$171,835.69	Address Mill — High-Volume Shared Address	100	View →
26	Timothy Cooke Sparta, NJ	Sparta, NJ	$112,203.98	Inflated Per-Service Billing — High Avg Allowed Amount	100	View →
27	Nicole Nissen Chesterfield, MO	Chesterfield, MO	$122,321.98	Inflated Per-Service Billing — High Avg Allowed Amount	100	View →
28	Thomas De Korte Charlevoix, MI	Charlevoix, MI	$64,536.39	Inflated Per-Service Billing — High Avg Allowed Amount	100	View →
29	Mark Granata Jersey City, NJ	Jersey City, NJ	$185,533.1	Deceased/High-Mortality Beneficiary Billing Pattern	100	View →
30	Jordan Miller Bluefield, VA	Bluefield, VA	$66,966.3	Inflated Per-Service Billing — High Avg Allowed Amount	100	View →
31	Anne Keating Fargo, ND	Fargo, ND	$502,986.25	Billing 2340% above state median for Medicare	100	View →
32	Guillermo Escobar Little Rock, AR	Little Rock, AR	$99,245.63	Billing 209% above state median for Medicare	100	View →
33	Gauri Savla San Diego, CA	San Diego, CA	$84,275.34	Address Mill — High-Volume Shared Address	100	View →
34	Modupe Adeyefa Houston, TX	Houston, TX	$116,365.12	Address Mill — High-Volume Shared Address	100	View →
35	Amita Jain Kansas City, KS	Kansas City, KS	$90,440.9	Billing 220% above state median for Medicare	100	View →
36	Michael Basista Sylvania, OH	Sylvania, OH	$76,543.39	Billing 242% above state median for Medicare	100	View →
37	Elizabeth Branson Santa Ana, CA	Santa Ana, CA	$98,225.03	Address Mill — High-Volume Shared Address	100	View →
38	Michelle Stiles Spokane, WA	Spokane, WA	$104,090.03	Address Mill — High-Volume Shared Address	100	View →
39	Mahmud Al Furgani Toledo, OH	Toledo, OH	$93,463.4	Address Mill — High-Volume Shared Address	100	View →
40	Ratika Dogra Toledo, OH	Toledo, OH	$63,591.28	Billing 184% above state median for Medicare	100	View →
41	Jeanne Wilson Elmhurst, IL	Elmhurst, IL	$110,102.67	Inflated Per-Service Billing — High Avg Allowed Amount	100	View →
42	City Of Caledonia Caledonia, MN	Caledonia, MN	$62,829.67	Billing 252% above state median for Medicare	100	View →
43	Mark Malone Kerrville, TX	Kerrville, TX	$236,177.18	Deceased/High-Mortality Beneficiary Billing Pattern	100	View →
44	Hinalben Patel Lawrenceville, NJ	Lawrenceville, NJ	$175,887.63	Inflated Per-Service Billing — High Avg Allowed Amount	100	View →
45	Joe Najjar Clifton, NJ	Clifton, NJ	$202,211.74	Inflated Per-Service Billing — High Avg Allowed Amount	100	View →
46	Rajinder Bhalla Houston, TX	Houston, TX	$94,404.47	Address Mill — High-Volume Shared Address	100	View →
47	Kathryn Hines Lubbock, TX	Lubbock, TX	$140,021.91	Billing 409% above state median for Medicare	100	View →
48	Rudhir Tandon Fort Smith, AR	Fort Smith, AR	$205,008.69	Address Mill — High-Volume Shared Address	100	View →
49	Eugene Spear Mcminnville, OR	Mcminnville, OR	$260,063.32	Billing 1199% above state median for Medicare	100	View →
50	Jesse Hill Little Rock, AR	Little Rock, AR	$94,805.67	Billing 195% above state median for Medicare	100	View →

Note: Risk scores are statistical indicators, not accusations. A high score means billing patterns deviate from peers — independent verification is always required.