Consumer Directed Choices, Inc.
Technician, Attendant Care Provider
Albany, New York
NPI: 1033162987
Risk Tier
Elevated
Total Paid
$238.2M
$238,168,727
Total Claims
1.4M
Beneficiaries
65K
Avg Cost/Claim
$169.85
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (1)
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 2 procedure codes: 99199 at 48.5× median, T1022 at 1.6× median.
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