Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HEALTH HOME PARTNERS OF WESTERN NEW YORK

NPI: 1760742548 · ORCHARD PARK, NY 14127 · Case Management Agency · NPI assigned 05/25/2012

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

96% of spending on code G9005 with only 2 total codes billed. Highly concentrated billing profile.

$11.53M
Total Medicaid Paid
44,118
Total Claims
44,115
Beneficiaries
2
Codes Billed
2019-01
First Month
2021-05
Last Month

Provider Details

Authorized OfficialNISBET, BRUCE (PRESIDENT/CEO)
NPI Enumeration Date05/25/2012

Related Entities

Other providers sharing the same authorized official: NISBET, BRUCE

ProviderCityStateTotal Paid
ERIE COUNTY SOUTH EAST CORP V WEST SENECA NY $94.38M
MENTAL HEALTH SERVICES OF ERIE COUNTY, SOUTHEAST CORP V BUFFALO NY $9.13M
MENTAL HEALTH SERVICES OF ERIE COUNTY SECV BUFFALO NY $31K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12,010 $3.03M
2020 28,488 $7.46M
2021 3,620 $1.04M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9005 Coordinated care fee, risk adjusted maintenance 37,941 37,938 $11.07M
G9001 Coordinated care fee, initial rate 6,177 6,177 $460K