Apt Foundation, INC
New Entrant
Started billing recently but already receiving millions in Medicaid payments.
First appeared in 2022-06 and has already billed $18.9M, averaging $611K/month across 31 months.
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
▼
Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
New Entrant
New Entrant means this provider began billing Medicaid recently but is already receiving millions of dollars in payments. While some new providers legitimately grow fast (e.g., large group practices), this pattern is also common in fraud schemes that set up shell companies to bill aggressively before shutting down.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Compared to Clinic/Center, Methadone Clinic Peers
Total spending distribution among 5 providers in this specialty
This provider's total spending of $18.9M is at the 50th percentile among 5 Clinic/Center, Methadone Clinic providers.
Total Paid
$18.9M
$18,926,208
Total Claims
104K
Beneficiaries
6,080
17.1 claims/patient
Avg Cost/Claim
$182
🔍 Analysis
Provider Overview
Apt Foundation, INC is a Clinic/Center, Methadone Clinic provider based in New Haven, CT. From the 2018–2024 period, this provider received $18.9M in Medicaid payments across 104K claims.
Why This Matters
At $18.9M 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.
Other Top Providers in Connecticut
View all →Yale New Haven Hospital
General Acute Care Hospital
$1.08B
Community Health Center INC
Counselor, Addiction (Substance Use Disorder)
$533.3M
New England Home Care Inc.
Home Health
$400.1M
Hartford Hospital
General Acute Care Hospital
$316.3M
Cornell Scott Hill Health Corporation
Psychiatry & Neurology, Child & Adolescent Psychia
$294.2M
Similar Providers
Other top providers in Clinic/Center, Methadone Clinic