Unlimited Care, Inc.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 3 procedure codes: T1001 at 3.9× median, 99199 at 59.7× median.
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:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $191.48 per claim for T1001 (Nursing assessment/evaluation, per visit) — 3.9× the national median of $49.05.
Bills $321.71 per claim for 99199 (Unlisted special service, procedure, or report) — 59.7× the national median of $5.39.
Billing above the 90th percentile for 3 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Compared to Home Health Peers
Total spending distribution among 322 providers in this specialty
This provider's total spending of $214.1M is at the 50th percentile among 322 Home Health providers.
Total Paid
$214.1M
$214,084,111
Total Claims
1.2M
Beneficiaries
58K
21.0 claims/patient
Avg Cost/Claim
$176
#408 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Unlimited Care, Inc. is a Home Health provider based in White Plains, NY. From the 2018–2024 period, this provider received $214.1M in Medicaid payments across 1.2M claims.
Why This Matters
This provider received $214.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 26,760 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 9 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 89% of total spending.
$191.0M
1.1M claims
$168.33
$82.47
Personal care services, per 15 min
$191.0M
1.1M claims · 89.2%
$22.2M
78K claims
$284.62
$296.27
Personal care services, per diem
$22.2M
78K claims · 10.4%
$465K
3K claims
$158.89
$156.98
Attendant care services, per diem
$465K
3K claims · 0.2%
$245K
1K claims
$191.48
$49.05
Nursing assessment/evaluation, per visit
$245K
1K claims · 0.1%
$109K
420 claims
$259.38
$259.38
Supported employment, waiver, per diem
$109K
420 claims · 0.1%
$26K
280 claims
$94.14
$85.62
Nursing care, in the home, by RN, per diem
$26K
280 claims · 0.0%
$22K
69 claims
$321.71
$5.39
Unlisted special service, procedure, or report
$22K
69 claims · 0.0%
$9K
69 claims
$133.04
$59.83
Skilled services by RN in home health, per 15 min
$9K
69 claims · 0.0%
$9K
32 claims · 0.0%
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