Is CAREGIVER HOMES OF CONNECTICUT, INC flagged for Medicaid fraud?

CAREGIVER HOMES OF CONNECTICUT, INC (NPI: 1265867394) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does CAREGIVER HOMES OF CONNECTICUT, INC bill Medicaid?

CAREGIVER HOMES OF CONNECTICUT, INC received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Case Management provider. Located in WEATHERSFIELD, CT.

What is NPI 1265867394?

NPI 1265867394 is the National Provider Identifier for CAREGIVER HOMES OF CONNECTICUT, INC. They are a Case Management provider based in WEATHERSFIELD, CT. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

CAREGIVER HOMES OF CONNECTICUT, INC

Case Management·WEATHERSFIELD, CT·NPI: 1265867394Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $112.4M is at the 25th percentile among 137 Case Management providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$112.4M

$112,441,889

Total Claims

1.2M

Beneficiaries

41K

29.5 claims/patient

Avg Cost/Claim

$92

Monthly Spending Trend

Yearly Spending

2018

$13.6M

+22%

2019

$16.5M

+6%

2020

$17.6M

-3%

2021

$17.1M

-0%

2022

$17.1M

-9%

2023

$15.6M

-5%

2024

$14.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (5140Z) accounts for 71% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

5140Z See all providers →

$80.1M

758K claims

$105.65

$555.49

0.2×

Normal range

5140ZNormal range

$80.1M

758K claims · 71.2%

Your Cost: $105.65/claim|Median: $555.49

0.2× median

5140Y See all providers →

$22.7M

292K claims

$77.47

$401.97

0.2×

Normal range

5140YNormal range

$22.7M

292K claims · 20.2%

Your Cost: $77.47/claim|Median: $401.97

0.2× median

5140X See all providers →

$8.4M

133K claims

$63.27

$336.08

0.2×

Normal range

5140XNormal range

$8.4M

133K claims · 7.5%

Your Cost: $63.27/claim|Median: $336.08

0.2× median

S5140Foster care, adult; per diemSee all providers →

$1.3M

33K claims

$39.56

$252.32

0.2×

Normal range

S5140Normal range

Foster care, adult; per diem

$1.3M

33K claims · 1.2%

Your Cost: $39.56/claim|Median: $252.32

0.2× median

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