Nyc Department of Education
Local Education Agency (LEA)
New York, New York
NPI: 1316338254
Risk Tier
Elevated
Total Paid
$54.5M
$54,469,120
Total Claims
1.3M
Beneficiaries
265K
Avg Cost/Claim
$43.09
Statistical Fraud Flags (1)
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $5.5M (2021) to $20.5M (2022) — a 271% swing with $15.0M absolute change.
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