Sunnyside Home Care Project, Inc.
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $4.2M (2018) to $21.5M (2019) — a 414% swing with $17.4M 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
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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:
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.
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 $169.6M is at the 50th percentile among 322 Home Health providers.
Total Paid
$169.6M
$169,641,841
Total Claims
771K
Beneficiaries
34K
22.7 claims/patient
Avg Cost/Claim
$220
#584 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Sunnyside Home Care Project, Inc. is a Home Health provider based in Long Island City, NY. From the 2018–2024 period, this provider received $169.6M in Medicaid payments across 771K claims.
Why This Matters
This provider received $169.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 21,205 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 3 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 87% of total spending.
$147.9M
703K claims
$210.37
$82.47
Personal care services, per 15 min
$147.9M
703K claims · 87.2%
$21.8M
68K claims
$321.20
$296.27
Personal care services, per diem
$21.8M
68K claims · 12.8%
$21K
99 claims
$213.10
$116.67
Home health aide or certified nurse, per hour
$21K
99 claims · 0.0%
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