Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Avondale Care Group LLC

Home Health·New York, NY·NPI: 1962728584Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $219.4M is at the 50th percentile among 322 Home Health providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$219.4M

$219,390,745

Total Claims

1.2M

Beneficiaries

62K

18.8 claims/patient

Avg Cost/Claim

$187

#391 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Avondale Care Group LLC is a Home Health provider based in New York, NY. From the 2018–2024 period, this provider received $219.4M in Medicaid payments across 1.2M claims.

Why This Matters

This provider received $219.4M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 27,423 Medicaid beneficiaries for a full year at average per-enrollee costs.

29% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$20.1M
+49%
2019
$29.9M
+29%
2020
$38.7M
-10%
2021
$34.9M
-3%
2022
$34.0M
+5%
2023
$35.7M
-27%
2024
$26.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 68% of total spending.

T1019Top 25%

Personal care services, per 15 min

$149.2M

954K claims · 68.0%

Your Cost: $156.45/claim|Median: $82.47
1.9× median
T1020Normal range

Personal care services, per diem

$61.2M

191K claims · 27.9%

Your Cost: $319.81/claim|Median: $296.27
1.1× median
S5126Normal range

Attendant care services, per diem

$7.7M

22K claims · 3.5%

Your Cost: $349.46/claim|Median: $156.98
2.2× median
S5125Top 25%

Attendant care services, per 15 min

$1.1M

5K claims · 0.5%

Your Cost: $243.96/claim|Median: $82.34
3.0× median
S5130Top 25%

Homemaker service, NOS; per 15 min

$95K

960 claims · 0.0%

Your Cost: $98.66/claim|Median: $48.76
2.0× median
T1022Normal range

$14K

88 claims · 0.0%

Your Cost: $157.42/claim|Median: $184.03
0.9× median