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

Corecare Behavioral Health Management Inc.

Substance Abuse Rehabilitation Facility

Philadelphia, Pennsylvania

NPI: 1558520841

Risk Tier

High

Total Paid

$73.2M

$73,174,596

Total Claims

283K

Beneficiaries

24K

Avg Cost/Claim

$258.65

Statistical Fraud Flags (2)

Billing Swing

Experienced over 200% change in year-over-year billing with >$1M absolute change.

Billing changed from $1.1M (2021) to $23.2M (2022) — a 1924% swing with $22.0M absolute change.

Explosive Growth

Billing increased over 500% year-over-year — far beyond normal growth patterns.

Billing grew 1924% from 2021 to 2022.

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