Queens Coordinated Care Partners

Queens Coordinated Care Partners was paid $31.23M by Medicaid between Jul 2018 and Jul 2021, across 2 billing codes. Its largest line is G9005, Coordinated care fee, risk adjusted maintenance — 99% of everything it billed.

33Billing provider infoQUEENS COORDINATED CARE PARTNERS
LONG ISLAND CITY, NY 11106

33aNPI1215292305assigned 07/05/2012

33bProvider typeCase Management Agency

28Total paid$31.23M

24GClaims109,859

24DCodes billed2

24AFirst – last monthJul 2018 – Jul 2021

Compared with peers

Next to other Case Management Agency providers in New York

Rank by total paid#33 of 180

Median peer was paid$1.76M

This provider vs. median18×

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 Concentration99% of spending on code G9005 with only 2 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	1,308	$314K
2019	21,028	$6.03M
2020	62,996	$17.71M
2021	24,527	$7.18M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9005	Coordinated care fee, risk adjusted maintenance	99%	107,523	107,462	$31.05M
G9001	Coordinated care fee, initial rate	<1%	2,336	2,335	$181K

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 officialHERNANDEZ, VALENTINE (EXECUTIVE DIRECTOR)