Cinq-Ny Health Home Ipa, LLC

Cinq-Ny Health Home Ipa, LLC was paid $38.37M by Medicaid between Jun 2022 and Dec 2024, across 2 billing codes. Its largest line is G9005, Coordinated care fee, risk adjusted maintenance — 68% of everything it billed.

33Billing provider infoCINQ-NY HEALTH HOME IPA, LLC
BUFFALO, NY 14201

33aNPI1679236756assigned 10/15/2021

33bProvider typeCase Management Agency

28Total paid$38.37M

24GClaims159,933

24DCodes billed2

24AFirst – last monthJun 2022 – Dec 2024

Compared with peers

Next to other Case Management Agency providers in New York

Rank by total paid#30 of 180

Median peer was paid$1.76M

This provider vs. median22×

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.

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
2022	44,003	$10.37M
2023	73,395	$17.59M
2024incomplete	42,535	$10.42M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9005	Coordinated care fee, risk adjusted maintenance	68%	105,507	105,136	$26.21M
T1016	Case management, each 15 minutes	32%	54,426	54,426	$12.17M

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 officialHAGAN, WILLIAM (CHIEF OPERATING OFFICER)