Interborough Developmental and Consultation Center Inc.
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $7.8M (2019) to $26.3M (2020) — a 236% swing with $18.4M absolute change.
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
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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
These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.
Risk Assessment
Bills $292.65 per claim for 90847 (Family psychotherapy with patient, 50 min) — 3.8× the national median of $77.33.
Bills $1,558.92 per claim for H0040 (Assertive community treatment, face-to-face, per 15 minutes) — 5.8× the national median of $266.41.
Billing above the 90th percentile for 8 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Compared to Case Management Peers
Total spending distribution among 137 providers in this specialty
This provider's total spending of $184.4M is at the 50th percentile among 137 Case Management providers.
Total Paid
$184.4M
$184,364,066
Total Claims
1.5M
Beneficiaries
615K
2.4 claims/patient
Avg Cost/Claim
$125
#515 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Interborough Developmental and Consultation Center Inc. is a Case Management provider based in Brooklyn, NY. From the 2018–2024 period, this provider received $184.4M in Medicaid payments across 1.5M claims.
Important Context
- ℹ️This provider appears to operate as a fiscal intermediary or management organization, processing payments on behalf of many individual caregivers. High aggregate billing is expected for this type of entity.
Why This Matters
This provider received $184.4M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 23,045 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 28 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 58% of total spending.
Psychotherapy, 45 minutes
$107.1M
773K claims · 58.1%
$27.7M
187K claims
$147.85
$130.29
Medicaid certified CCBHC services
$27.7M
187K claims · 15.0%
$14.2M
49K claims
$292.65
$77.33
Family psychotherapy with patient, 50 min
$14.2M
49K claims · 7.7%
$12.8M
117K claims
$110.17
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$12.8M
117K claims · 7.0%
Psychiatric diagnostic evaluation
$7.0M
37K claims · 3.8%
Psychotherapy, 30 minutes
$5.1M
49K claims · 2.8%
$2.3M
174K claims · 1.3%
$2.1M
8K claims
$253.04
$108.91
Psychiatric diagnostic evaluation with medical services
$2.1M
8K claims · 1.1%
$1.3M
12K claims
$111.47
$76.61
Family psychotherapy without patient, 50 min
$1.3M
12K claims · 0.7%
$1.2M
27K claims
$42.75
$22.44
Telephone E/M by physician, 11-20 minutes
$1.2M
27K claims · 0.6%
Group psychotherapy
$991K
16K claims · 0.5%
$492K
3K claims
$145.81
$76.05
Community psychiatric supportive treatment, per 15 min
$492K
3K claims · 0.3%
$462K
5K claims
$91.80
$55.04
Self-help/peer services, per 15 minutes
$462K
5K claims · 0.3%
$406K
4K claims
$107.71
$215.80
Crisis intervention service, per 15 minutes
$406K
4K claims · 0.2%
Alcohol and/or drug assessment
$322K
2K claims · 0.2%
$296K
190 claims
$1,558.92
$266.41
Assertive community treatment, face-to-face, per 15 minutes
$296K
190 claims · 0.2%
$277K
2K claims
$113.18
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$277K
2K claims · 0.2%
$174K
3K claims
$65.32
$38.83
Psychotherapy, 30 min, add-on to E/M service
$174K
3K claims · 0.1%
$105K
786 claims
$134.04
$91.63
Psychosocial rehabilitation services, per 15 min
$105K
786 claims · 0.1%
$33K
211 claims
$156.59
$57.85
Office/outpatient visit, new patient, low-mod complexity
$33K
211 claims · 0.0%
$8K
123 claims
$66.72
$62.69
Comprehensive medication services, per 15 min
$8K
123 claims · 0.0%
$4K
41 claims
$108.67
$84.03
Office/outpatient visit, new patient, mod-high complexity
$4K
41 claims · 0.0%
$3K
26 claims · 0.0%
$2K
38 claims · 0.0%
$2K
36 claims
$54.79
$74.63
Behavioral health counseling & therapy, per 15 min
$2K
36 claims · 0.0%
$1K
41 claims
$26.12
$32.55
Telephone E/M by physician, 21-30 min
$1K
41 claims · 0.0%
$0
29 claims
$0.00
$67.32
Initial hospital care, per day, high complexity
$0
29 claims · 0.0%
Office/outpatient visit, low complexity
$0
48 claims · 0.0%
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