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

Preferred Home Health Care & Nursing Services Inc.

Home Health

Mount Laurel, New Jersey

NPI: 1043279011

Risk Tier

Elevated

Total Paid

$224.6M

$224,601,484

Total Claims

577K

Beneficiaries

38K

Avg Cost/Claim

$389.31

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 $428.91 per claim for T1003 (LPN/LVN services, per 15 minutes), which is 17.7× the national median of $24.24.

Advanced Detection Signals

CUSUM Change Point

Billing shifted 0.1x in 2023-01 — a statistically significant structural change in billing behavior was detected.

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