Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ARC MERCER, INC

NPI: 1114308087 · HAMILTON, NJ 08690 · Community/Behavioral Health Agency · NPI assigned 06/16/2015

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

98% of spending on code T2021 with only 2 total codes billed. Highly concentrated billing profile.

$14.45M
Total Medicaid Paid
99,081
Total Claims
6,247
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOOK, STEVEN (EXECUTIVE DIRECTOR)
NPI Enumeration Date06/16/2015

Related Entities

Other providers sharing the same authorized official: COOK, STEVEN

ProviderCityStateTotal Paid
ARC MERCER, INC EWING NJ $87.65M
CARE ONE INCORPORATED YPSILANTI MI $187K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,480 $1.15M
2019 18,228 $2.00M
2020 8,607 $888K
2021 11,827 $1.36M
2022 14,655 $2.40M
2023 17,723 $3.23M
2024 17,561 $3.42M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2021 Day habilitation, waiver; per 15 minutes 93,370 5,840 $14.17M
T1005 Respite care services, up to 15 minutes 5,711 407 $277K