Community Health Aide Services Inc.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 2 procedure codes: 99199 at 53.1× median, T1021 at 4.1× median.
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
▼
Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $286.24 per claim for 99199 (Unlisted special service, procedure, or report) — 53.1× the national median of $5.39.
Bills $182.07 per claim for T1021 (Home health aide visit, per 15 min) — 4.1× the national median of $44.79.
Billing above the 90th percentile for 2 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Compared to Home Health Peers
Total spending distribution among 322 providers in this specialty
This provider's total spending of $667.4M is at the 90th percentile among 322 Home Health providers.
Above 90th percentile for this specialty — higher spending than 289 of 322 peers
Total Paid
$667.4M
$667,442,681
Total Claims
3.9M
Beneficiaries
211K
18.7 claims/patient
Avg Cost/Claim
$169
#76 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Community Health Aide Services Inc. is a Home Health provider based in Monsey, NY. From the 2018–2024 period, this provider received $667.4M in Medicaid payments across 3.9M claims.
Why This Matters
This provider received $667.4M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 83,430 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 11 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 85% of total spending.
$566.6M
3.6M claims
$157.72
$82.47
Personal care services, per 15 min
$566.6M
3.6M claims · 84.9%
$97.8M
331K claims
$295.38
$296.27
Personal care services, per diem
$97.8M
331K claims · 14.7%
$1.0M
8K claims
$126.90
$156.98
Attendant care services, per diem
$1.0M
8K claims · 0.2%
$649K
3K claims · 0.1%
$280K
3K claims
$103.14
$59.83
Skilled services by RN in home health, per 15 min
$280K
3K claims · 0.0%
$269K
939 claims
$286.24
$5.39
Unlisted special service, procedure, or report
$269K
939 claims · 0.0%
$233K
3K claims
$86.58
$49.05
Nursing assessment/evaluation, per visit
$233K
3K claims · 0.0%
$231K
1K claims
$191.86
$259.38
Supported employment, waiver, per diem
$231K
1K claims · 0.0%
Attendant care services, per 15 min
$173K
1K claims · 0.0%
$140K
2K claims
$85.62
$85.62
Nursing care, in the home, by RN, per diem
$140K
2K claims · 0.0%
Home health aide visit, per 15 min
$56K
306 claims · 0.0%
Other Top Providers in New York
View all →Similar Providers
Other top providers in Home Health