The Collaborative for Children and Families
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $636.64 per claim for T2022 (Case management, per month), which is 3.1× the national median of $202.77.
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $9.1M (2019) to $31.4M (2020) — a 245% swing with $22.3M absolute change.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 2 procedure codes: T2022 at 3.1× median, G0506 at 25.1× median.
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:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
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.
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Advanced Detection Signals
Additional statistical tests from advanced fraud detection methods
These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.
Risk Assessment
Bills $636.64 per claim for T2022 (Case management, per month) — 3.1× the national median of $202.77.
Bills $185.80 per claim for G0506 (Comprehensive assessment of chronic care management) — 25.1× the national median of $7.41.
Billing above the 90th percentile for 2 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Compared to Case Manager/Care Coordinator Peers
Total spending distribution among 16 providers in this specialty
This provider's total spending of $347.3M is at the 99th percentile among 16 Case Manager/Care Coordinator providers.
Above 99th percentile for this specialty — higher spending than 15 of 16 peers
Total Paid
$347.3M
$347,298,881
Total Claims
564K
Beneficiaries
563K
1.0 claims/patient
Avg Cost/Claim
$616
#201 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
The Collaborative for Children and Families is a Case Manager/Care Coordinator provider based in New York, NY. From the 2018–2024 period, this provider received $347.3M in Medicaid payments across 564K claims.
Why This Matters
This provider received $347.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 43,412 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 4 distinct procedure codes. The top code (T2022 (Case management, per month)) accounts for 99% of total spending.
Case management, per month
$342.8M
539K claims · 98.7%
$4.1M
22K claims
$185.80
$7.41
Comprehensive assessment of chronic care management
$4.1M
22K claims · 1.2%
$185K
2K claims · 0.1%
Unskilled respite care, per 15 min
$136K
701 claims · 0.0%
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