Private Care Management and Consultation Services LLC

Private Care Management and Consultation Services LLC was paid $449K by Medicaid between Jan 2018 and Nov 2023, across 3 billing codes. Its largest line is H0036, community psychiatric support and treatment, per 15 minutes — 93% of everything it billed.

33Billing provider infoPRIVATE CARE MANAGEMENT AND CONSULTATION SERVICES LLC
WEST ORANGE, NJ 07052

33aNPI1154719904assigned 01/02/2015

33bProvider typeCase Management Agency

28Total paid$449K

24GClaims1,882

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2023

Compared with peers

Next to other Case Management Agency providers in New Jersey

Rank by total paid#127 of 161

Median peer was paid$2.07M

This provider vs. median0.2×

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
2018	754	$165K
2019	814	$199K
2020	163	$43K
2022	30	$8K
2023	121	$35K

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	93%	1,758	512	$417K
T2024	Service assessment/plan of care development, waiver	6.0%	112	112	$27K
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	1.3%	12	12	$6K

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 officialABBOTT, CYNTHIA (DIRECTOR)