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

New York Foundation for Senior Citizens Home Attendant Services, Inc.

Home Health·New York, NY·NPI: 1366561755SharePrint Report

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:

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Single-Code

Single-Code Billing means this provider bills almost exclusively for one or two procedure codes despite high total volume. Legitimate specialists may focus on specific codes, but extreme concentration can indicate a scheme billing repeatedly for the same service.

These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.

Risk Assessment

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Extreme procedure concentration — 88% of all billing flows through just 2 codes (T1019, T1020).

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

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $128.2M is at the 25th percentile among 322 Home Health providers.

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

Extreme procedure concentration — 88% of $128.2M billed through just 2 codes

Total Paid

$128.2M

$128,198,932

Total Claims

573K

Beneficiaries

25K

22.7 claims/patient

Avg Cost/Claim

$224

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

🔍 Analysis

Provider Overview

New York Foundation for Senior Citizens Home Attendant Services, Inc. is a Home Health provider based in New York, NY. From the 2018–2024 period, this provider received $128.2M in Medicaid payments across 573K claims.

Why This Matters

This provider received $128.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,024 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 35% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$13.1M
+34%
2019
$17.5M
+27%
2020
$22.1M
-9%
2021
$20.1M
-6%
2022
$19.0M
-1%
2023
$18.8M
-7%
2024
$17.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 88% of total spending.

T1019Top 25%

Personal care services, per 15 min

$113.2M

526K claims · 88.3%

Your Cost: $215.31/claim|Median: $82.47
2.6× median
T1020Normal range

Personal care services, per diem

$15.0M

48K claims · 11.7%

Your Cost: $315.24/claim|Median: $296.27
1.1× median