Nick Shirley uncovers an adult day care in Flushing, Queens with 7,000 phantom members.
Nick: “This public document says you have 7,899 members.”
Employee: “No, we don’t have 7,000 members.”
Nick: “So you’re overbilling then? You’re getting paid $1,600 per patient — that’s how you got $12.9 million in 2024.”
Employee: “Please leave.”
American taxpayer dollars at work.
Nov 10, 2026 · 11:44 PM UTC
How is it that @nickshirleyy is finding the fraud but people who actually have the job to make sure that these people are legit haven't found a thing. 😡
- Nick Shirley confronts staff at Sunrise Senior Service LLC in Flushing, Queens, using public CMS data showing 7,899 members and $12.9M in 2024 Medicaid payments at $1.6K per patient, while the facility appears nearly empty in the video.
- An employee denies having thousands of members when presented with the records and asks Shirley to leave after he questions whether the numbers indicate overbilling of taxpayer funds.
- The clip is part of Shirley's broader July 2026 investigation into multiple Flushing adult day care centers with high Medicaid reimbursements and low visible utilization, sparking public scrutiny of program oversight.
@nickshirleyy ‘s post is a classic selective confrontation. He shows a document listing ~7,899 members and gets an employee to say they don’t have that many, then jumps straight to “overbilling” and a $12.9 million figure. The video itself does not prove phantom billing or fraud.
A few problems:
•Adult day care programs often list enrolled or eligible participants differently from daily attendance. A roster of 7,000+ does not automatically mean 7,000 people are walking through the door every day or that every name is being billed at the full rate.
•The employee’s response (“we don’t have 7,000 members… please leave”) is not a confession. It is consistent with someone who either doesn’t know the exact enrollment number or doesn’t want to discuss billing with an unannounced visitor.
•Shirley does not show the actual billing records, the reimbursement rates, or any audit finding. The $1,600-per-patient and $12.9 million numbers are presented as fact without the supporting documentation in the clip.
•He has no background in journalism or public-program [accounting. These videos are built for maximum reaction, not for following the money through official claims data.
This does not mean the facility is clean. Large Medicaid-funded programs can and do have fraud. But a single doorstep confrontation that produces an ambiguous denial is not evidence of 7,000 phantom members. That claim requires billing records, attendance logs, and an audit—none of which appear in the post.😬
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