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

Friends and Family Home Care Services

In Home Supportive Care·New York, NY·NPI: 1265926687SharePrint 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.

Risk Assessment

Bills $190.61 per claim for 99199 (Unlisted special service, procedure, or report) — 35.4× the national median of $5.39.

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

Compared to In Home Supportive Care Peers

Total spending distribution among 57 providers in this specialty

P25MedianP75P90

This provider's total spending of $680.7M is at the 90th percentile among 57 In Home Supportive Care providers.

Above 90th percentile for this specialty — higher spending than 51 of 57 peers

Active Billing Period:2018-082024-12(77 months)

Total Paid

$680.7M

$680,727,559

Total Claims

4.9M

Beneficiaries

259K

19.1 claims/patient

Avg Cost/Claim

$138

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

🔍 Analysis

Provider Overview

Friends and Family Home Care Services is a In Home Supportive Care provider based in New York, NY. From the 2018–2024 period, this provider received $680.7M in Medicaid payments across 4.9M claims.

Why This Matters

This provider received $680.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 85,090 Medicaid beneficiaries for a full year at average per-enrollee costs.

2326% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$7.4M
+496%
2019
$44.0M
+46%
2020
$64.2M
+41%
2021
$90.4M
+39%
2022
$125.6M
+35%
2023
$170.1M
+5%
2024
$179.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 98% of total spending.

T1019Normal range

Personal care services, per 15 min

$664.6M

4.9M claims · 97.6%

Your Cost: $135.79/claim|Median: $82.47
1.6× median
T1020Normal range

Personal care services, per diem

$15.7M

48K claims · 2.3%

Your Cost: $327.44/claim|Median: $296.27
1.1× median
T1022Normal range

$336K

2K claims · 0.0%

Your Cost: $162.03/claim|Median: $184.03
0.9× median
99199Top 5%

Unlisted special service, procedure, or report

$16K

82 claims · 0.0%

Your Cost: $190.61/claim|Median: $5.39
35.4× median
T1030Normal range

Nursing care, in the home, by RN, per diem

$12K

2K claims · 0.0%

Your Cost: $6.64/claim|Median: $85.62
0.1× median
T1001Normal range

Nursing assessment/evaluation, per visit

$5K

144 claims · 0.0%

Your Cost: $35.14/claim|Median: $49.05
0.7× median
G0162Normal range

Skilled services by RN in home health, per 15 min

$3K

40 claims · 0.0%

Your Cost: $72.00/claim|Median: $59.83
1.2× median
99080Normal range

$0

250 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.15