Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SOUTHWEST BROOKLYN HEALTH HOME, LLC

NPI: 1023354933 · BROOKLYN, NY 11219 · Case Management Agency · NPI assigned 12/20/2012

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

97% of spending on code G9005 with only 3 total codes billed. Highly concentrated billing profile.

$113.01M
Total Medicaid Paid
379,977
Total Claims
379,619
Beneficiaries
3
Codes Billed
2018-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNELSON, KAREN (EXECUTIVE DIRECTOR)
NPI Enumeration Date12/20/2012

Related Entities

Other providers sharing the same authorized official: NELSON, KAREN

ProviderCityStateTotal Paid
INDIANA PROFESSIONAL MANAGEMENT GROUP, INC. WEST LAFAYETTE IN $309K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,554 $440K
2019 24,854 $7.22M
2020 84,142 $24.55M
2021 74,825 $22.37M
2022 67,995 $20.94M
2023 63,153 $19.30M
2024 61,454 $18.18M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9005 Coordinated care fee, risk adjusted maintenance 363,922 363,564 $109.23M
T1016 Case management, each 15 minutes 14,499 14,499 $3.67M
G9001 Coordinated care fee, initial rate 1,556 1,556 $118K