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

Chartwell Community Services Inc.

Home Health·Arlington, TX·NPI: 1366580706SharePrint Report

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:

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

Billing Velocity3645.6 claims/working day
Change PointBilling shifted 16.6x in 2020-10

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

P25MedianP75P90

This provider's total spending of $253.4M is at the 50th percentile among 322 Home Health providers.

Active Billing Period:2018-112024-12(56 months)

Total Paid

$253.4M

$253,416,240

Total Claims

4.5M

Beneficiaries

184K

24.4 claims/patient

Avg Cost/Claim

$56

#326 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Chartwell Community Services Inc. is a Home Health provider based in Arlington, TX. From the 2018–2024 period, this provider received $253.4M in Medicaid payments across 4.5M claims.

Why This Matters

This provider received $253.4M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 31,677 Medicaid beneficiaries for a full year at average per-enrollee costs.

22161% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$286K
+4180%
2020
$12.2M
+356%
2021
$55.7M
+11%
2022
$61.6M
-3%
2023
$59.9M
+6%
2024
$63.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 93% of total spending.

S5125Normal range

Attendant care services, per 15 min

$236.5M

4.2M claims · 93.3%

Your Cost: $56.58/claim|Median: $82.34
0.7× median
T2017Normal range

Habilitation, residential, waiver; 15 min

$6.3M

83K claims · 2.5%

Your Cost: $76.28/claim|Median: $137.32
0.6× median
T1005Normal range

Respite care services, per 15 minutes

$6.3M

127K claims · 2.5%

Your Cost: $49.43/claim|Median: $71.40
0.7× median
T1019Normal range

Personal care services, per 15 min

$4.3M

101K claims · 1.7%

Your Cost: $42.35/claim|Median: $82.47
0.5× median