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

GOTHAM PER DIEM, INC

Home Health·NEW YORK, NY·NPI: 1295770956Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $55.5M is at the below 25th percentile among 322 Home Health providers.

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

Total Paid

$55.5M

$55,535,393

Total Claims

331K

Beneficiaries

27K

12.3 claims/patient

Avg Cost/Claim

$168

Monthly Spending Trend

Yearly Spending

2018
$7.4M
+38%
2019
$10.2M
+10%
2020
$11.3M
-23%
2021
$8.7M
-13%
2022
$7.5M
-14%
2023
$6.5M
-41%
2024
$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 98% of total spending.

T1019Top 25%

Personal care services, per 15 min

$54.6M

316K claims · 98.4%

Your Cost: $172.69/claim|Median: $82.47
2.1× median
T2024Normal range

Supported employment, waiver, per diem

$387K

2,223 claims · 0.7%

Your Cost: $174.03/claim|Median: $259.38
0.7× median
S9127Normal range

Social work visit, in the home, per diem

$241K

10K claims · 0.4%

Your Cost: $23.34/claim|Median: $98.75
0.2× median
T1020Normal range

Personal care services, per diem

$220K

1,403 claims · 0.4%

Your Cost: $156.70/claim|Median: $296.27
0.5× median
99349Top 1%

$60K

310 claims · 0.1%

Your Cost: $192.29/claim|Median: $24.29
7.9× median
T1001Normal range

Nursing assessment/evaluation, per visit

$170

15 claims · 0.0%

Your Cost: $11.33/claim|Median: $49.05
0.2× median