Icl Act Team Central Brooklyn
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $3,963.91 per claim for H0044 (Supported housing, per diem), which is 5.0× the national median of $797.87.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
▼
Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $3,963.91 per claim for H0044 (Supported housing, per diem) — 5.0× the national median of $797.87.
Bills $1,827.42 per claim for H0040 (Assertive community treatment, face-to-face, per 15 minutes) — 6.9× the national median of $266.41.
Bills $2,063.85 per claim for H0043 (Supported housing, per diem) — 12.5× the national median of $164.87.
Billing in the top 1% nationally for 1 procedure code: H0044.
This is a statistical summary, not an accusation. See our methodology.
Compared to Case Management Peers
Total spending distribution among 137 providers in this specialty
This provider's total spending of $121.0M is at the 50th percentile among 137 Case Management providers.
Total Paid
$121.0M
$121,036,198
Total Claims
40K
Beneficiaries
39K
1.0 claims/patient
Avg Cost/Claim
$3K
#993 of 618K providers by total spending(top 0.2%)
🔍 Analysis
Provider Overview
Icl Act Team Central Brooklyn is a Case Management provider based in Brooklyn, NY. From the 2018–2024 period, this provider received $121.0M in Medicaid payments across 40K claims.
Important Context
- ℹ️This provider appears to operate as a fiscal intermediary or management organization, processing payments on behalf of many individual caregivers. High aggregate billing is expected for this type of entity.
Why This Matters
This provider received $121.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,129 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 3 distinct procedure codes. The top code (H0044 (Supported housing, per diem)) accounts for 74% of total spending.
Supported housing, per diem
$90.0M
23K claims · 74.3%
$29.4M
16K claims
$1,827.42
$266.41
Assertive community treatment, face-to-face, per 15 minutes
$29.4M
16K claims · 24.3%
Supported housing, per diem
$1.7M
821 claims · 1.4%
Other Top Providers in New York
View all →Similar Providers
Other top providers in Case Management