Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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RUTGERS-UNIVERSITY BEHAVIORAL HEALTH CARE

NPI: 1093003410 · NEWARK, NJ 07103 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 07/19/2011

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

96% of spending on code H0019 with only 2 total codes billed. Highly concentrated billing profile.

$9.69M
Total Medicaid Paid
35,124
Total Claims
1,204
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCOLFORD, FRANCIS (VICE PRESIDENT, FINANCE & TREASURER)
NPI Enumeration Date07/19/2011

Related Entities

Other providers sharing the same authorized official: COLFORD, FRANCIS

ProviderCityStateTotal Paid
RUTGERS-UNIVERSITY BEHAVIORAL HEALTH CARE PISCATAWAY NJ $60.19M
RUTGERS-UNIVERSITY BEHAVIORAL HEALTH CARE NEWARK NJ $20.67M
RUTGERS-UNIVERSITY BEHAVIORAL HEALTH CARE PISCATAWAY NJ $16.27M
RUTGERS-UNIVERSITY BEHAVIORAL HEALTH CARE PISCATAWAY NJ $2.09M
RUTGERS-UNIVERSITY BEHAVIORAL HEALTH CARE PISCATAWAY NJ $1.46M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,125 $1.38M
2019 4,697 $1.26M
2020 5,146 $1.38M
2021 5,130 $1.38M
2022 5,588 $1.50M
2023 4,973 $1.44M
2024 4,465 $1.34M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 33,832 1,159 $9.34M
H2018 Psychosocial rehabilitation services, per diem 1,292 45 $347K