Hamaspik of Kings County Inc.
Case Management
Brooklyn, New York
NPI: 1700120888
Risk Tier
Critical
Total Paid
$295.4M
$295,371,494
Total Claims
1.1M
Beneficiaries
78K
Avg Cost/Claim
$258.76
Active billing period: 63 months (2019-10 to 2024-12)
Statistical Fraud Flags (3)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $445.32 per claim for H2015 (Comprehensive community support services, per 15 min), which is 4.6× the national median of $96.24.
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $9.6M (2020) to $48.7M (2021) — a 410% swing with $39.2M absolute change.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 11 procedure codes: H2015 at 4.6× median, 90834 at 2.3× median.
Advanced Detection Signals
CUSUM Change Point
Billing shifted 4.0x in 2021-09 — 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