Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Bayada Home Health Care Inc.

Home Health

Toms River, New Jersey

NPI: 1003847807

Risk Tier

Elevated

Total Paid

$269.7M

$269,654,252

Total Claims

637K

Beneficiaries

42K

Avg Cost/Claim

$423.15

Active billing period: 84 months (2018-01 to 2024-12)

Statistical Fraud Flags (1)

Cost Outlier

Billing over 3× the national median for specific procedure codes.

Bills $465.57 per claim for T1002 (RN services, per 15 minutes), which is 12.4× the national median of $37.42.

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