Daybreak Community Services Texas LLC
Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities
Fort Worth, Texas
NPI: 1437534559
Risk Tier
Critical
Total Paid
$243.2M
$243,167,426
Total Claims
2.3M
Beneficiaries
209K
Avg Cost/Claim
$105.66
Active billing period: 68 months (2018-01 to 2024-12)
Statistical Fraud Flags (3)
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $1.1M (2020) to $54.3M (2021) — a 4757% swing with $53.2M absolute change.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 3 procedure codes: D9220 at 2.1× median, D0120 at 17.1× median.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 4757% from 2020 to 2021.
Advanced Detection Signals
CUSUM Change Point
Billing shifted 80.3x in 2021-02 — a statistically significant structural change in billing behavior was detected.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024