Human Care Services for Families and Children INC
Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities
Brooklyn, New York
NPI: 1730369760
Risk Tier
Critical
Total Paid
$203.8M
$203,820,196
Total Claims
612K
Beneficiaries
44K
Avg Cost/Claim
$333.00
Active billing period: 38 months (2021-09 to 2024-10)
Statistical Fraud Flags (4)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $469.67 per claim for H2015 (Comprehensive community support services, per 15 min), which is 4.9× the national median of $96.24.
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $977K (2021) to $89.7M (2022) — a 9080% swing with $88.7M absolute change.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 2 procedure codes: H2015 at 4.9× median, H2014 at 3.8× median.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 9080% from 2021 to 2022.
Advanced Detection Signals
CUSUM Change Point
Billing shifted 8.5x in 2022-04 — 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