Marks Homecare Agency INC
In Home Supportive Care
Corona, New York
NPI: 1376097303
Risk Tier
Elevated
Total Paid
$1.08B
$1,081,483,693
Total Claims
6.7M
Beneficiaries
304K
Avg Cost/Claim
$161.59
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (1)
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $8.2M (2018) to $35.1M (2019) — a 327% swing with $26.8M absolute change.
Advanced Detection Signals
Billing Velocity
3621.6 claims per working day — may exceed physically possible volume for a single provider.
CUSUM Change Point
Billing shifted 4.7x in 2022-02 — a statistically significant structural change in billing behavior was detected.
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