Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Caringhouse Projects

Respite Care

Atlantic City, New Jersey

NPI: 1265802847

Risk Tier

Elevated

Total Paid

$280.8M

$280,807,224

Total Claims

651K

Beneficiaries

24K

Avg Cost/Claim

$431.03

Active billing period: 84 months (2018-01 to 2024-12)

Statistical Fraud Flags (1)

Single-Code

Billing almost exclusively for 1-2 procedure codes despite high total volume.

Bills primarily for code T2021 (2 unique codes).

Advanced Detection Signals

Suspicious Concentration

Herfindahl-Hirschman Index of 1 across 2 procedure codes — billing is highly concentrated in very few services.

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