Nae Edison LLC
Home Health
Brooklyn, New York
NPI: 1780816991
Risk Tier
Elevated
Total Paid
$1.11B
$1,107,509,967
Total Claims
6.9M
Beneficiaries
328K
Avg Cost/Claim
$160.15
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (1)
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 2 procedure codes: 99199 at 44.1× median, T1001 at 3.6× median.
Advanced Detection Signals
Billing Velocity
3742.1 claims per working day — may exceed physically possible volume for a single provider.
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