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

Health Home Partners of Western New York

Health Home Partners of Western New York was paid $11.53M by Medicaid between Jan 2019 and May 2021, across 2 billing codes. Its largest line is G9005, Coordinated care fee, risk adjusted maintenance — 96% of everything it billed.

33Billing provider infoHEALTH HOME PARTNERS OF WESTERN NEW YORK
ORCHARD PARK, NY 14127
33aNPI1760742548assigned 05/25/2012
33bProvider typeCase Management Agency
28Total paid$11.53M
24GClaims44,118
24DCodes billed2
24AFirst – last monthJan 2019 – May 2021
Compared with peers

Next to other Case Management Agency providers in New York

Rank by total paid#46 of 180
Median peer was paid$1.76M
This provider vs. median6.5×

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 Concentration96% of spending on code G9005 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
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
201912,010$3.03M
202028,488$7.46M
20213,620$1.04M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G9005 Coordinated care fee, risk adjusted maintenance 96% 37,941 37,938 $11.07M
G9001 Coordinated care fee, initial rate 4.0% 6,177 6,177 $460K

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 officialNISBET, BRUCE (PRESIDENT/CEO)
Same official

Other billing entities under NISBET, BRUCE

Full network →

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