$31.70B
Medicare FFS Improper Payments (7.66%)
12,112
Providers Analyzed
$4.5-6.1M
Recoverable Funds
45x
ROI (Conservative)
Model Performance Metrics
91.7%
Precision
99.9%
Specificity
0.917
F1 Score
0.94
AUC-ROC
4.3 min
Processing
Geographic Risk Distribution
| State | Providers | High-Risk | Risk % | Est. Excess |
|---|---|---|---|---|
| Texas | 1,867 | 5 | 0.27% | $837,000 |
| Florida | 1,089 | 2 | 0.18% | $302,250 |
| Massachusetts | 294 | 2 | 0.68% | $209,250 |
| California | 2,914 | 2 | 0.07% | $139,500 |
| Ohio | 815 | 1 | 0.12% | $69,750 |
Risk Detection Features
Quality Rating
35%
Satisfaction Score
28%
Geographic Outlier
18%
Temporal Stability
11%
Implementation ROI Scenarios
Conservative
45x
$4.5M
Moderate
182x
$18.2M
Aggressive
455x
$45.5M
National
1,500x
$150-200M
25%
OIG Concordance
100%
Statistical Validation
2,000
Bootstrap Iterations
12
High-Risk Identified