HEINIS, JANINE
NPI: 1134578586
· BOONTON, NJ 07005
· Professional Counselor
· NPI assigned 06/07/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code H0036 with only 2 total codes billed. Highly concentrated billing profile.
$3.05M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,579 |
$263K |
| 2019 |
3,485 |
$640K |
| 2020 |
4,239 |
$517K |
| 2021 |
3,561 |
$590K |
| 2022 |
2,470 |
$432K |
| 2023 |
1,966 |
$343K |
| 2024 |
1,432 |
$262K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
17,191 |
5,036 |
$2.91M |
| H2014 |
Skills training and development, per 15 minutes |
1,541 |
469 |
$139K |