Southwest Brooklyn Health Home, LLC

Southwest Brooklyn Health Home, LLC was paid $113.01M by Medicaid between Jul 2018 and Dec 2024, across 3 billing codes. Its largest line is G9005, Coordinated care fee, risk adjusted maintenance — 97% of everything it billed.

33Billing provider infoSOUTHWEST BROOKLYN HEALTH HOME, LLC
BROOKLYN, NY 11219

33aNPI1023354933assigned 12/20/2012

33bProvider typeCase Management Agency

28Total paid$113.01M

24GClaims379,977

24DCodes billed3

24AFirst – last monthJul 2018 – Dec 2024

Compared with peers

Next to other Case Management Agency providers in New York

Rank by total paid#13 of 180

Median peer was paid$1.76M

This provider vs. median64×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration97% of spending on code G9005 with only 3 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	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
2024incomplete	61,454	$18.18M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9005	Coordinated care fee, risk adjusted maintenance	97%	363,922	363,564	$109.23M
T1016	Case management, each 15 minutes	3.2%	14,499	14,499	$3.67M
G9001	Coordinated care fee, initial rate	<1%	1,556	1,556	$118K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialNELSON, KAREN (EXECUTIVE DIRECTOR)

Same official

Other billing entities under NELSON, KAREN

Full network →

Provider	Location	Paid
Indiana Professional Management Group, INC.	West Lafayette, IN	$309K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.