Tradition Choice
Home Health
Brooklyn, New York
NPI: 1568910677
Risk Tier
High
Total Paid
$208.3M
$208,345,252
Total Claims
1.5M
Beneficiaries
62K
Avg Cost/Claim
$143.07
Active billing period: 64 months (2019-07 to 2024-12)
Statistical Fraud Flags (2)
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $773K (2021) to $39.9M (2022) — a 5060% swing with $39.1M absolute change.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 5060% from 2021 to 2022.
Advanced Detection Signals
CUSUM Change Point
Billing shifted 19.6x in 2022-07 — 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