Bnv Home Care Agency Inc.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 2 procedure codes: T1022 at 1.4× median, 99199 at 66.7× 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 $359.61 per claim for 99199 (Unlisted special service, procedure, or report) — 66.7× the national median of $5.39.
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 $636.6M 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
$636.6M
$636,580,819
Total Claims
3.4M
Beneficiaries
140K
24.6 claims/patient
Avg Cost/Claim
$185
#82 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Bnv Home Care Agency Inc. is a Home Health provider based in Rego Park, NY. From the 2018–2024 period, this provider received $636.6M in Medicaid payments across 3.4M claims.
Why This Matters
This provider received $636.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 79,572 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 6 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 84% of total spending.
$532.7M
3.1M claims
$171.32
$82.47
Personal care services, per 15 min
$532.7M
3.1M claims · 83.7%
$103.4M
334K claims
$309.87
$296.27
Personal care services, per diem
$103.4M
334K claims · 16.2%
$214K
827 claims · 0.0%
$152K
2K claims
$88.19
$85.62
Nursing care, in the home, by RN, per diem
$152K
2K claims · 0.0%
$87K
975 claims
$89.66
$59.83
Skilled services by RN in home health, per 15 min
$87K
975 claims · 0.0%
$36K
100 claims
$359.61
$5.39
Unlisted special service, procedure, or report
$36K
100 claims · 0.0%
Other Top Providers in New York
View all →Similar Providers
Other top providers in Home Health