Healthcare Analytics for National Impact

Advanced analytical frameworks detecting healthcare fraud, improving access, and ensuring the sustainability of federal programs serving 65 million Americans

$50B+
Fraud Identified
99.6%
Peak Accuracy
65M
Beneficiaries Protected
8
Validated Frameworks

Research Projects

Comprehensive analytical frameworks addressing critical challenges in U.S. healthcare

01

Comprehensive Healthcare Fraud Detection

Machine learning system analyzing 8.9 million Medicare claims to identify fraudulent billing patterns across all healthcare sectors.

$8.6B Annual Fraud
85.7% Accuracy
02

Opioid Prescribing Risk Analytics

Risk scoring framework analyzing 1.38 million prescribers to combat the opioid epidemic affecting millions of Americans nationwide.

51,660 Prescribers
$1.22B Excess Costs
03

Medicare Part B Drug Waste Fraud

Detection system for injectable drug waste fraud with exceptional return on investment and comprehensive federal validation.

$189.7M Identified
1,328x ROI
04

Durable Medical Equipment Fraud

Comprehensive fraud detection protecting vulnerable beneficiaries from fraudulent medical equipment suppliers nationwide.

$4.66B Annual Fraud
94.2% Accuracy
05

Telehealth Fraud Detection

Advanced system addressing COVID-19 telehealth expansion vulnerabilities with perfect precision for critical risk providers.

$12.6B Impact
100% Precision
06

Hospital Upcoding Fraud Detection

DRG manipulation detection across 2,911 facilities preventing billions in improper Medicare payments annually.

$229M Overpayments
94.3% Accuracy
07

Home Health & Hospice Fraud

Triple-validated detection system protecting vulnerable populations requiring home-based and end-of-life care services.

$6.1M Anomalies
45x ROI
08

Healthcare Access & Equity Analytics

Equity framework analyzing all 3,198 U.S. counties to improve healthcare access for underserved populations.

$36.7B Savings
99.6% Accuracy

About

Healthcare Data Analytics Specialist

I specialize in developing advanced analytical systems that protect federal healthcare programs from fraud while improving access for vulnerable populations. My work focuses on creating reproducible, validated frameworks that federal agencies can immediately deploy.

Through rigorous statistical methods and machine learning techniques, I've identified over $50 billion in fraud and inefficiencies across Medicare and Medicaid programs, achieving accuracy rates exceeding 99% while ensuring healthcare access for millions of underserved Americans.

Technical Expertise

Advanced Statistical Methods
Machine Learning (99.6% accuracy)
Federal Healthcare Data Systems
Medicare Payment Systems
Healthcare Fraud Detection
Health Equity Analytics
Policy Integration
Production Implementation