Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Chautauqua County DMH Health Homes

Chautauqua County DMH Health Homes was paid $25.83M by Medicaid between Jun 2019 and Nov 2024, across 2 billing codes. Its largest line is G9005, Coordinated care fee, risk adjusted maintenance — 100% of everything it billed.

33Billing provider infoCHAUTAUQUA COUNTY DMH HEALTH HOMES
JAMESTOWN, NY 14701
33aNPI1477807097assigned 11/05/2012
33bProvider typeCase Management Agency
28Total paid$25.83M
24GClaims81,857
24DCodes billed2
24AFirst – last monthJun 2019 – Nov 2024
Compared with peers

Next to other Case Management Agency providers in New York

Rank by total paid#36 of 180
Median peer was paid$1.76M
This provider vs. median15×

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 Concentration100% of spending on code G9005 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
20195,875$1.63M
202016,950$5.06M
202116,005$5.08M
202216,000$5.27M
202315,741$5.08M
2024incomplete11,286$3.71M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G9005 Coordinated care fee, risk adjusted maintenance 100% 80,572 80,570 $25.73M
G9001 Coordinated care fee, initial rate <1% 1,285 1,285 $96K

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, CARMELO (DIRECTOR)
Same official

Other billing entities under HERNANDEZ, CARMELO

Full network →
ProviderLocationPaid
County of Chautauqua - a Mun CorpJamestown, NY$15.90M

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