Nyc Department of Education
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $5.5M (2021) to $20.5M (2022) — a 271% swing with $15.0M absolute change.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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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.
Compared to Local Education Agency (LEA) Peers
Total spending distribution among 12 providers in this specialty
This provider's total spending of $54.5M is at the 50th percentile among 12 Local Education Agency (LEA) providers.
Total Paid
$54.5M
$54,469,120
Total Claims
1.3M
Beneficiaries
265K
4.8 claims/patient
Avg Cost/Claim
$43
🔍 Analysis
Provider Overview
Nyc Department of Education is a Local Education Agency (LEA) provider based in New York, NY. From the 2018–2024 period, this provider received $54.5M in Medicaid payments across 1.3M claims.
Important Context
- ℹ️This is a government entity that may serve as a fiscal agent for large populations. Government providers often bill at high volumes due to the scale of public programs they administer.
Why This Matters
At $54.5M in Medicaid payments, this provider represents significant public healthcare spending. Understanding where these dollars go helps ensure the program serves those who need it most.
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