New Mexico Consumer Direct Personal Care LLC
Home Health
Albuquerque, New Mexico
NPI: 1740376292
Risk Tier
Elevated
Total Paid
$149.6M
$149,619,585
Total Claims
542K
Beneficiaries
171K
Avg Cost/Claim
$275.90
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (1)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $346.55 per claim for 99509 (Home visit, assistance w/ ADLs), which is 6.7× the national median of $51.71.
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