🎯 Risk Distribution
💰 Payment Distribution
🚨 Top Suspicious Providers
📐 Benford's Law
🏥 Top HCPCS Procedure Codes
Fraud Investigation AI
Ask questions about 227M+ Medicaid claims across 617K+ providers
Provider Explorer
Document AI + RAG Pipeline
Google Document AI Layout Parser → Embeddings → Vector Search → Gemini Augmented Generation
🔍 Ask Questions (RAG Search)
Your question is embedded, matched against document chunks via vector search, then Gemini generates an answer from the most relevant context.
📄 Process Documents
📊 Raw Data Explorer
Browse the Medicaid Provider Spending dataset — 227M+ records, 617K+ providers
gs://frauds/medicaid-provider-spending.csv
⬇ Download Full CSV (11GB)
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🧬 HCPCS Code Anomalies
Upcoding and unbundling signals from provider-by-code payment behavior
Loading code anomaly analysis...
🧩 Unbundling Signals
python analyze_codes.py to generate unbundling signals.
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Geographic Fraud Analysis
NPI Registry enrichment + Google Search Grounding — real provider locations & fraud intelligence
🗺️ Fraud by State
🔥 Zip Code Hotspots
Areas with concentrated suspicious billing from multiple providers
📋 Provider Registry Data
| NPI | Provider Name | City | State | Zip | Total Paid | Specialty | Risk |
|---|
🔍 Google Search Grounded Investigation
Real-world fraud intelligence from Google Search — news, OIG exclusions, DOJ actions
🌐 Live Grounded Search
Ask questions about fraud providers — backed by real-time Google Search
🗽 NJ High-Risk Providers
🚨 Debarment Cross-Match — Post-Exclusion Fraud
Cross-matched the NJ debarment/exclusion list against 227M Medicaid claims to find providers who billed after being excluded.
🔴 Post-Exclusion Offenders — Billing After Debarment
📊 Cross-Match Severity Distribution
📋 NJ Debarment List ( Providers)
🔍 NJ Fraud Intelligence Search
🎯 Culprit Dossiers — Suspect Investigation
Deep investigation of every suspect: NPI registry, Google Search OSINT, business entity research, and prosecution-ready evidence packages.
🔴 Suspect Dossier Table
⚖️ Prosecution Report & Reporting Guide
Attorney General-quality prosecution brief with specific charges, reporting contacts, evidence preservation, and estimated financial impact.
🏛️ Federal Reporting
OIG Hotline: 1-800-HHS-TIPS
OIG Online: tips.oig.hhs.gov
FBI Newark: (973) 792-3000
FBI Tips: tips.fbi.gov
🗽 NJ State Reporting
NJ AG MFCU: (609) 292-8740
Email: medicaidfraud@njoag.gov
NJ DMAHS: Provider Enrollment
Medical Examiners: License Board
💰 Whistleblower (Qui Tam)
False Claims Act 31 U.S.C. § 3729
Recovery: 15-30% of recovered funds
Protection: Anti-retaliation law
Treble damages + per-claim penalties
📄 NJ Deep Dive Report (Original)
Where Are Your Tax Dollars Going?
Our AI analyzed thousands of healthcare providers — and found alarming patterns of Medicaid fraud that could affect your community.
How Did We Find This?
Data Collection
Analyzed 227 million+ Medicaid billing records from CMS
AI Statistical Analysis
Detected anomalies using z-scores and Benford's Law
Identity Verification
Verified each provider through NPI National Registry
Deep OSINT Investigation
Automated Google Search for public fraud information
Prosecution Report
AG-quality prosecution brief generated for authorities
Search Your Area
Find out if there are flagged healthcare providers near you. Enter your zip code, city, or state.
Ask Our AI
Have questions about Medicaid fraud? Ask our AI in plain English — it knows all the findings from our investigation.
Report Suspected Fraud
If you suspect Medicaid fraud, you can report it anonymously. Whistleblowers may receive 15-30% of recovered funds.
Federal Reporting
NJ State Reporting
Whistleblower (Qui Tam)
Disclaimer: This platform presents data analysis findings from publicly available CMS Medicaid payment data. These findings do not constitute legal conclusions. All individuals and organizations are presumed innocent until proven otherwise through proper legal proceedings.