kert
88025d5976
data: geographic, setting, anomaly scoring, enforcement correlation (refs #240, #241, #242, #243)
Geographic analysis (skin_subs.geographic_summary, mac_summary):
- 16 states, 8 MAC jurisdictions
- FL highest spend/bene ($2,142), First Coast MAC #1 overall
- Palmetto states (TN, VA, NC) have highest per-bene spend
Setting analysis (skin_subs.setting_analysis):
- Office setting: 68% of product spend, lowest oversight
- Podiatry×office: 45% of total spend — wound care mill pattern
- 169 setting×specialty×product combinations
Anomaly scoring (skin_subs.anomaly_scores):
- Composite risk: volume z-score, intensity z-score, setting risk, geo risk
- 7 critical, 17 high, 21 moderate, 155 low risk providers
- Top risk: TX podiatrist, $45K, office, vol_z=+5.69 — Jenson pattern
Enforcement correlation (skin_subs.provider_risk_profile):
- 23 providers match "jenson-like" pattern (TX podiatry, office)
- Benford chi² analysis (no synthetic data anomalies expected)
- Fraud-pattern matched providers slightly higher volume z-scores
17 tables in skin_subs schema.
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