New York City Health and Hospital Corporation
Case Management
New York, New York
NPI: 1114558509
Risk Tier
High
Total Paid
$45.8M
$45,802,625
Total Claims
153K
Beneficiaries
153K
Avg Cost/Claim
$298.91
Statistical Fraud Flags (2)
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $61K (2020) to $16.0M (2021) — a 26187% swing with $15.9M absolute change.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 26187% from 2020 to 2021.
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