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

New York City Health and Hospitals Corporation

Internal Medicine

Elmhurst, New York

NPI: 1063426377

Risk Tier

Low

Total Paid

$146.6M

$146,568,058

Total Claims

3.5M

Beneficiaries

2.8M

Avg Cost/Claim

$42.41

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

No statistical risk flags detected for this provider.

Advanced Detection Signals

CUSUM Change Point

Billing shifted 21.5x in 2019-09 — 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