Asc of New York, LLC
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code T1022 (2 unique codes).
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:
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.
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.
Compared to Home Health Peers
Total spending distribution among 322 providers in this specialty
This provider's total spending of $110.9M is at the 25th percentile among 322 Home Health providers.
Total Paid
$110.9M
$110,935,971
Total Claims
792K
Beneficiaries
31K
25.9 claims/patient
Avg Cost/Claim
$140
🔍 Analysis
Provider Overview
Asc of New York, LLC is a Home Health provider based in Brooklyn, NY. From the 2018–2024 period, this provider received $110.9M in Medicaid payments across 792K claims.
Why This Matters
This provider received $110.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 13,866 Medicaid beneficiaries for a full year at average per-enrollee costs.
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