Cooperative Home Care Associates, INC
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $10.3M (2018) to $35.6M (2019) — a 246% swing with $25.3M absolute change.
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:
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.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Compared to Home Health Peers
Total spending distribution among 322 providers in this specialty
This provider's total spending of $269.9M is at the 75th percentile among 322 Home Health providers.
Total Paid
$269.9M
$269,903,560
Total Claims
1.4M
Beneficiaries
65K
21.7 claims/patient
Avg Cost/Claim
$191
#296 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Cooperative Home Care Associates, INC is a Home Health provider based in Bronx, NY. From the 2018–2024 period, this provider received $269.9M in Medicaid payments across 1.4M claims.
Why This Matters
This provider received $269.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 33,737 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 (T1019 (Personal care services, per 15 min)) accounts for 99% of total spending.
$266.8M
1.4M claims
$191.39
$82.47
Personal care services, per 15 min
$266.8M
1.4M claims · 98.8%
Attendant care services, per 15 min
$2.0M
14K claims · 0.7%
$1.1M
4K claims
$257.80
$296.27
Personal care services, per diem
$1.1M
4K claims · 0.4%
$8K
59 claims
$134.54
$116.67
Home health aide or certified nurse, per hour
$8K
59 claims · 0.0%
Other Top Providers in New York
View all →Similar Providers
Other top providers in Home Health