Complaint
HL-2026-04811
Provider billing for unrendered PT sessions
Complaint text
Received Oct 25, 1:56 PM via Phone · Facility Kansas City NDC · ZIP 64108
Comparison against peer providers in the region shows one PT clinic billing 3x the median sessions per OWCP claimant.
AI summary
Generated from the complaint narrative.
Data hint: PT provider bills 3x the peer-group median per OWCP patient with no supporting notes.
Similar prior complaints
Matched by program area and narrative similarity.
HL-2026-04812
Upcoding on imaging servicesHL-2026-04826
Provider billing for unrendered PT sessionsHL-2026-04827
Upcoding on imaging services AI classification
Suggested by the intake model.
Suggested area
Health Care Provider Fraud
Confidence57%
Priority score85
Assignment
Assigned analyst
K. Nguyen
Channel
Phone
Facility
Kansas City NDC
ZIP
64108