Onondaga Case Management Services Inc.
Case Management
Syracuse, New York
NPI: 1235184235
Risk Tier
High
Total Paid
$63.7M
$63,730,341
Total Claims
193K
Beneficiaries
193K
Avg Cost/Claim
$330.63
Statistical Fraud Flags (2)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $332.81 per claim for G9005 (Coordinated care fee, risk-adjusted, ESRD), which is 7.1× the national median of $47.08.
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code G9005 (2 unique codes).
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