Clinic
Optimal Behavioral Health, LLC
Optimal Behavioral Health, LLC was paid $568K by Medicaid between May 2019 and Nov 2024, across 2 billing codes. Its largest line is H0036, community psychiatric support and treatment, per 15 minutes — 71% of everything it billed.
33Billing provider infoOPTIMAL BEHAVIORAL HEALTH, LLC
VILLAS, NJ 08251
VILLAS, NJ 08251
33aNPI1124587134assigned 03/19/2019
28Total paid$568K
24GClaims3,408
24DCodes billed2
24AFirst – last monthMay 2019 – Nov 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in New Jersey
Rank by total paid#81 of 134
Median peer was paid$1.01M
This provider vs. median0.6×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 1,088 | $183K | |
| 2020 | 826 | $140K | |
| 2021 | 773 | $114K | |
| 2023 | 207 | $35K | |
| 2024incomplete | 514 | $97K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 71% | 2,220 | 544 | $402K |
| H2014 | Skills training and development, per 15 minutes | 29% | 1,188 | 364 | $166K |
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 officialZAPPONE, MARK (EXECUTIVE DIRECTOR)