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DataRepublican (small r) Profile picture
@DataRepublican
Feb 14 • 14 tweets • 5 min read • Read on X
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🧵THREAD: Is Brooklyn, NY a Medicaid fraud hotspot?

Brooklyn, NY has a home care billing industry that defies belief.

One zip code (11232, Sunset Park) has 30,181 residents and $3.8 BILLION in Medicaid claims. That's $143,000 per man, woman, and child.

What's even stranger is that the average income is $90K, the poverty rate is below 20%, and it is one of the younger zip codes in the area.

Receipts below.👇

As always, patience as I pull together the thread.Image
Image
Case study NPI 1396051694: AssistCareHome Healthcare Services at 148 39th Street Building 19, 4th Floor.

1.4 billion in claims paid per DOGE data.

Services 6000+ unique beneficiaries a month, files 20 claims per beneficiary, bills 23MM a month.

Nothing on Google Maps about this place.

1396051694,1396051694,T1019,2024-05,6295,133302,23561537.56
1396051694,1396051694,T1019,2024-07,6240,131852,23311281.66
1396051694,1396051694,T1019,2023-03,6735,147135,23138674.52
1396051694,1396051694,T1019,2023-05,6617,146639,23112662.09
1396051694,1396051694,T1019,2023-10,6571,139728,23027910.07
1396051694,1396051694,T1019,2023-08,6632,147905,22893647.71
1396051694,1396051694,T1019,2024-01,6261,130763,22572233.74Image
Case study NPI 1780816991: NAE EDISON LLC at 946 McDonald Ave. Very similar number of claims paid out, similar number of unique beneficiaries. 6,000+ beneficiaries monthly being serviced at a strip mall without any reviews.

1780816991,1780816991,T1019,2024-05,6405,147364,24876517.68
1780816991,1780816991,T1019,2024-07,6308,141026,24055592.07
1780816991,1780816991,T1019,2024-04,6338,140215,23651552.47
1780816991,1780816991,T1019,2024-06,6467,135892,23404942.73
1780816991,1780816991,T1019,2024-03,6180,137448,23040261.81Image
Case study NPI 1275657553: Heart to Heart Home Care Inc., at 395 Pearl Street. A convenience store is located there!

You see the identical pattern in claims paid out: ~6,500 unique beneficiaries a month, ~135K claims per month, over 1 billion billed.

1275657553,1275657553,T1019,2024-05,6601,143583,22564791.29
1275657553,1275657553,T1019,2024-07,6687,142653,22542376.21
1275657553,1275657553,T1019,2024-04,6545,136068,21329948.52
1275657553,1275657553,T1019,2024-03,6423,135409,21085422.98
1275657553,1275657553,T1019,2024-11,7006,136497,20928418.06
1275657553,1275657553,T1019,2024-06,6618,131782,20900255.90
1275657553,1275657553,T1019,2024-01,6249,132683,20617339.31Image
All three exhibited strikingly similar growth patterns. All three jumped by ~30% in October 2019. Image
Per OpenClaw analysis:

🔹Sept 2019: $276M → Oct 2019: $351M — a 27% jump in one month
🔹Beneficiaries: 94K → 106K (13% jump)
🔹NPIs barely changed (236 → 238) — same agencies, more billing

This was program-wide, not just these three — nationwide T1019 jumped 15% the same month ($1.18B → $1.35B).
OpenClaw concludes what likely happened: NY's minimum wage for NYC hit $15/hour on December 31, 2018 (large employers). The Medicaid reimbursement rates for home care are tied to wage parity requirements — when minimum wage goes up, Medicaid rates follow with a lag. The Oct 2019 timing aligns with rate adjustments flowing through the managed long-term care (MLTC) plans that pay these agencies.

But the rate increase alone doesn't explain a 27% jump. The other factor: CDPAP enrollment was exploding in 2019 as fiscal intermediaries aggressively recruited. This is when it went from $2.5B/year toward the $9B/year Hochul would later call "a racket." The agencies were simultaneously getting paid more per unit AND signing up more beneficiaries.
This pattern is everywhere in Brooklyn.

Case study NPI 1457562811: S&A Unified Home Care at 2729 Coney Island Ave. Serviced 3000+ unique clients monthly at its peak. Still serving almost 2000 a month.

1457562811,1457562811,T1019,2024-08,1832,45076,8448045.90
1457562811,1457562811,T1019,2024-09,1885,44519,8411232.99
1457562811,1457562811,T1019,2024-05,1822,45265,8406442.29
1457562811,1457562811,T1019,2024-11,1965,44958,8379172.36Image
Right across the street is NPI 1528338282, All American Home Care Agency Inc. at 2784 Coney Island Ave. That one does seem to have a shiny building at least.

1528338282,1528338282,T1019,2024-07,3416,73906,13232587.06
1528338282,1528338282,T1019,2024-05,3341,73144,12862944.39
1528338282,1528338282,T1019,2024-04,3288,69551,12209293.47
1528338282,1528338282,T1019,2024-06,3381,68053,12136241.40
1528338282,1528338282,T1019,2024-01,3160,69215,12027420.06
1528338282,1528338282,T1019,2024-03,3251,68050,11908546.50Image
Per OpenClaw:
NY is two-thirds of all personal care aide billing in the entire country. And the top 25 zips nationally for T1019 per capita are almost entirely NYC zip codes — with 02072 (Stoughton, MA — Tempus Unlimited HQ) and 12110 (Latham, NY — Public Partnerships HQ) at the top because those fiscal intermediaries register billing at their corporate address.

The postable stat: National median is $3/person/month. Brooklyn 11232 is $2,214. That's 738 times the national median.
Yes, I'm aware that home care agencies do not directly serve clients in those offices.

But when you see few-to-no Google Reviews, a parking garage, etc... compare to other medical administrative facilities.

It's stupefying.
Some context on why NY stands out so much:
OpenClaw doesn't agree that deinstitutionalization is a full explanation though: Image
Image
Image
Likely the best explanation for it all:

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More from @DataRepublican

DataRepublican (small r) Profile picture
Feb 27
🧵WOLF IN SHEEP'S CLOTHING: Meet David Pascoe, candidate for SC Attorney General. He's running as a Republican. But is he actually a Democrat?

Joe Biden is in South Carolina today.

Which makes this the perfect moment to introduce you to David Pascoe, candidate for SC Attorney General, running as a Republican, and what he said about Joe Biden in January 2020:

"He is the most decent man I have ever met in American politics. Joe has been a role model of mine for many years. He is someone my sons look up to. Joe is the first and only candidate I have ever endorsed for public office."

That's not only a Democrat who voted for Biden. That's a Democrat who hosted Biden's campaign fundraiser at his own annual oyster roast, endorsed him for president, and was Biden's frontrunner to become US Attorney for South Carolina.

David Pascoe spent 20+ years as an elected Democrat, 6 consecutive terms as SC First Circuit Solicitor. He pushed DEI-style racial quota systems for SC judges as recently as December 2023. Six months before his "conversion," he endorsed a Democratic state rep who voted against banning gender procedures on minors.

And here are the receipts. 👇

As always, patience as I pull together this thread.Image
David Pascoe spent 20+ years as an elected Democrat, 6 consecutive terms as SC First Circuit Solicitor. On April 10, 2025, he switched to the GOP. SC Dem Chair Christale Spain says he "has been trying to find a lane to run for higher office." Image
Image
Pascoe switched parties in April 2025.
Pascoe launched his AG campaign in August 2025.
That's 4 months, in a state where no Democrat has won a statewide race since 2006.
You do the math. Image
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Read 20 tweets
DataRepublican (small r) Profile picture
Feb 27
If you're a subscriber, enter your oppo research request below! I haven't scaled it out yet, so can only do about 3 a day. It also helps if you pair a name with a focus (e.g., investigate connections to so-and-so entity)

I'll prioritize the requests with highest likes.
John Thune report here, next up is Gavin Newsom and Tina Kotek:
drive.google.com/file/d/1RURJvF…
Gavin Newsom:
drive.google.com/file/d/1V3Tjbq…
Read 4 tweets
DataRepublican (small r) Profile picture
Feb 26
🧵 THREAD: The JB Pritzker Files

Illinois Gov. JB Pritzker is positioning himself as the Democratic hero of 2028.

But before the national press crowns him, let's look at what he's built.

As always, patience as I pull the thread together. 👇 Image
Image
In 2008, FBI wiretaps caught JB Pritzker on the phone multiple times trading political appointment strategies. Image
On tape, Pritzker advises on who should fill Barack Obama's vacated Senate seat:

"The only reason to do it is if he'll appoint you to something." Image
Read 31 tweets
DataRepublican (small r) Profile picture
Feb 25
🧵 THREAD: Reid Hoffman: the quintessential "Defender of Democracy"

LinkedIn founder and tech mogul Reid Hoffman has spent endless millions making himself indispensable to the democracy ecosystem. Here's just a sampling :

🔹 Created fake "Russian bot accounts" to create allegations of Russia helping a 2017 Senate election
🔹 Mis-stated the extent of his friendship with Jeffrey Epstein and how long he continued to meet with Epstein
🔹 Crown Fellow at the Aspen Institute, the mysterious foreign-policy thinktank which receives money from both US and foreign governments
🔹 Highly influential in foreign policy circles: Bilderberg Group, Council on Foreign Relations, and more
🔹Along with George Soros, one of the biggest donors to American Bridge 21st Century, a Brock-ran PAC designed to trash Republican candidates

You'd think that @RadioFreeTom , if he were so worried about lack of expertise, he would be calling out those people who spend enormous amounts of money interfering and shaping US elections. But, instead, nah, it's the West Virginia blue collar guy who's ruining America.... not the fact that people like Reid Hoffman and Jeffrey Epstein can buy their way into the highest levels of global influence.

Here's the highlights of Reid Hoffman.

As always, patience as I pull together the thread👇Image
In 2017, with Roy Moore vs. Doug Jones in Alabama, Hoffman quietly invested $750,000 in a group called American Engagement Technologies.

What that money bought is one of the most shocking stories in recent political history you've never heard of. Image
Image
AET funded New Knowledge, which created fake "Russian bot" accounts, deliberately designed to LOOK Russian, and pointed them at Roy Moore.

The goal: make Moore appear to be Russia's preferred candidate. Image
Read 20 tweets
DataRepublican (small r) Profile picture
Feb 23
🧵THREAD: All about the foreign-influenced Western media called Grayzone and Iranian protests

Last month, 𝕏 celebrated the Iranian protests.

Then they ... just disappeared from the headlines, and it came out quietly that hundreds and even thousands of protesters were brutally massacred.

So why did the story mostly die?

Because an influence operation ran by a foreign-backed media group called Grayzone turned a massacre into a debate about who was really behind the protests. A new report from @ncri_io , published February 19, documents exactly how it worked: the seeding, the laundering, and who did the amplifying.

As always, patience as I pull the thread together. 👇Image
Image
Before the first protester was shot, IRGC-affiliated Fars News was already calling the December 28 uprising "an enemy psychological operation." Image
The regime needed "evidence." They got two gifts:
1/ Mossad's official Farsi X account posted solidarity Dec 29: "We are with you in the field as well."
2/ Former Sec. of State Pompeo tweeted Jan 2: "Happy New Year to every Mossad agent walking beside them."
Both were immediately seized as proof of a foreign-orchestrated coup.Image
Read 16 tweets
DataRepublican (small r) Profile picture
Feb 22
🧵THREAD: Is Trump's hunch about foreign influence in SCOTUS correct?

After the Supreme Court's 6-3 ruling on tariffs, Trump said "It's my opinion that the court has been swayed by foreign interests and a political movement that is far smaller than people would ever think."

Trump is likely referring to the ideology of supranationalism -- a centuries-old ideology that considered tariffs to be among the highest economical blunders, not for economic reasons, but because tariffs dare to assert national rights in a telos of universal liberalism.

But is he right about the foreign influence?

As has been widely reported, @MikeBenzCyber has unpacked the details of the friendship between John Roberts and Norm Eisen, and their Prague vacations where they discussed "American and European rule-of-law issues" together.

But there's more to it. A lot more. 👇

As always, patience as I pull the thread together.Image
Image
Read all about Mike's exposure here:
Eisen is a leading figure in the supranational democracy network being an expert in color revolutions (but don't dare suggest that he's orchestrating one here). He's a co-founder of the States United Democracy Center (which I called out for simply producing a Muppet show), co-counsel for Trump's first impeachment council, formerly US Ambassador to Czech Republic, CREW chair. He'sImage
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Read 12 tweets

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