Essential Home Care Inc.
In Home Supportive Care
Jamaica, New York
NPI: 1477086197
Risk Tier
Elevated
Total Paid
$113.1M
$113,058,982
Total Claims
707K
Beneficiaries
31K
Avg Cost/Claim
$160.02
Statistical Risk Flags (1)
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code T1022 (2 unique codes).
Advanced Detection Signals
Suspicious Concentration
Herfindahl-Hirschman Index of 1 across 2 procedure codes — billing is highly concentrated in very few services.
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