Srh Chn Lead Health Home LLC
Case Management
Peekskill, New York
NPI: 1750053948
Risk Tier
Critical
Total Paid
$239.0M
$238,967,731
Total Claims
756K
Beneficiaries
756K
Avg Cost/Claim
$316.11
Active billing period: 28 months (2022-09 to 2024-12)
Statistical Fraud Flags (5)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $296.20 per claim for G9005 (Coordinated care fee, risk-adjusted, ESRD), which is 6.3× the national median of $47.08.
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $34.6M (2022) to $107.1M (2023) — a 209% swing with $72.5M absolute change.
New Entrant
Started billing recently but already receiving millions in Medicaid payments.
First appeared in 2022-09 and has already billed $239.0M, averaging $8.5M/month across 28 months.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 2 procedure codes: T2022 at 3.0× median, G0506 at 25.1× median.
Instant Volume
New provider billing over $1M in their first year of Medicaid participation.
Billed $34.6M in first year (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