Carepro of NY INC
Home Health
Brooklyn, New York
NPI: 1003360397
Risk Tier
Elevated
Total Paid
$158.6M
$158,587,824
Total Claims
883K
Beneficiaries
42K
Avg Cost/Claim
$179.50
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Risk Flags (1)
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code T1020 (2 unique codes).
Advanced Detection Signals
CUSUM Change Point
Billing shifted 4.4x in 2021-04 — a statistically significant structural change in billing behavior was detected.
Suspicious Concentration
Herfindahl-Hirschman Index of 1 across 2 procedure codes — billing is highly concentrated in very few services.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024