Americare Certified Special Services Inc.
Home Health
Brooklyn, New York
NPI: 1770513145
Risk Tier
Critical
Total Paid
$60.1M
$60,110,322
Total Claims
0
Beneficiaries
0
Avg Cost/Claim
$0.00
Statistical Fraud Flags (3)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $245.64 per claim for G0156 (Home health aide services, per visit), which is 6.2× the national median of $39.42.
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $3.3M (2023) to $61.4M (2024) — a 1756% swing with $58.1M absolute change.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 1756% from 2023 to 2024.
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