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

Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:

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

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:2018-012024-12(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