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

Eak Good Neighbor Properties

Day Training, Developmentally Disabled Services·Mount Vernon, TX·NPI: 1245468727SharePrint Report

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:

Billing Swing

Billing Swing means this provider's total billing changed dramatically from one year to the next — increasing or decreasing by more than 200% with over $1M in absolute change. This could indicate a change in practice scope, a billing scheme ramping up, or legitimate growth.

These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.

Advanced Detection Signals

Additional statistical tests from advanced fraud detection methods

Change PointBilling shifted 12.6x in 2020-10

These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.

Risk Assessment

Billing in the top 1% nationally for 1 procedure code: G0226.

This is a statistical summary, not an accusation. See our methodology.

Compared to Day Training, Developmentally Disabled Services Peers

Total spending distribution among 56 providers in this specialty

P25MedianP75P90

This provider's total spending of $154.6M is at the 75th percentile among 56 Day Training, Developmentally Disabled Services providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$154.6M

$154,624,549

Total Claims

1.9M

Beneficiaries

197K

9.6 claims/patient

Avg Cost/Claim

$82

#690 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Eak Good Neighbor Properties is a Day Training, Developmentally Disabled Services provider based in Mount Vernon, TX. From the 2018–2024 period, this provider received $154.6M in Medicaid payments across 1.9M claims.

Why This Matters

This provider received $154.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,328 Medicaid beneficiaries for a full year at average per-enrollee costs.

1463% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+2%
2019
$2.7M
+165%
2020
$7.1M
+344%
2021
$31.7M
+4%
2022
$33.1M
+9%
2023
$36.2M
+13%
2024
$41.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 25% of total spending.

T1019Normal range

Personal care services, per 15 min

$39.0M

542K claims · 25.2%

Your Cost: $71.95/claim|Median: $82.47
0.9× median
S5125Normal range

Attendant care services, per 15 min

$38.3M

649K claims · 24.7%

Your Cost: $58.97/claim|Median: $82.34
0.7× median
T2016Normal range

Habilitation, residential, waiver; per diem

$22.9M

153K claims · 14.8%

Your Cost: $149.82/claim|Median: $331.94
0.5× median
T1005Normal range

Respite care services, per 15 minutes

$12.2M

139K claims · 7.9%

Your Cost: $87.27/claim|Median: $71.40
1.2× median
T2040Normal range

Financial management, self-directed; per month

$11.4M

79K claims · 7.4%

Your Cost: $143.70/claim|Median: $108.97
1.3× median
T2017Normal range

Habilitation, residential, waiver; 15 min

$7.7M

88K claims · 5.0%

Your Cost: $87.77/claim|Median: $137.32
0.6× median
H2015Normal range

Comprehensive community support services, per 15 min

$6.9M

81K claims · 4.5%

Your Cost: $85.95/claim|Median: $96.24
0.9× median
M0355Normal range

$4.5M

28K claims · 2.9%

Your Cost: $160.09/claim|Median: $196.65
0.8× median
G0749Normal range

$3.6M

32K claims · 2.3%

Your Cost: $111.65/claim|Median: $219.77
0.5× median
S9125Normal range

Respite care, in the home, per diem

$2.1M

27K claims · 1.3%

Your Cost: $75.55/claim|Median: $187.28
0.4× median
M0361Normal range

$2.0M

14K claims · 1.3%

Your Cost: $146.46/claim|Median: $151.88
1.0× median
M0373Normal range

$919K

24K claims · 0.6%

Your Cost: $38.13/claim|Median: $53.80
0.7× median
M0111Normal range

$659K

3K claims · 0.4%

Your Cost: $194.23/claim|Median: $189.91
1.0× median
G0227Top 25%

$490K

4K claims · 0.3%

Your Cost: $111.85/claim|Median: $110.80
1.0× median
M0241Normal range

$477K

4K claims · 0.3%

Your Cost: $109.25/claim|Median: $113.44
1.0× median
M0209Normal range

$474K

2K claims · 0.3%

Your Cost: $192.15/claim|Median: $189.12
1.0× median
G0226Top 1%

$461K

2K claims · 0.3%

Your Cost: $206.12/claim|Median: $204.14
1.0× median
G6063Normal range

$223K

12K claims · 0.1%

Your Cost: $18.92/claim|Median: $36.83
0.5× median
M0145Normal range

$177K

2K claims · 0.1%

Your Cost: $85.99/claim|Median: $96.21
0.9× median
M0539Normal range

$43K

5K claims · 0.0%

Your Cost: $9.27/claim|Median: $7.60
1.2× median
M0420Normal range

$43K

873 claims · 0.0%

Your Cost: $49.34/claim|Median: $49.34
1.0× median
G6064Normal range

$38K

719 claims · 0.0%

Your Cost: $52.41/claim|Median: $86.23
0.6× median
M0538Normal range

$6K

294 claims · 0.0%

Your Cost: $21.57/claim|Median: $21.57
1.0× median