JENESA COMMUNITY MENTAL LLC
NPI: 1164916755
· MIAMI, FL 33145
· Community/Behavioral Health Agency
· NPI assigned 06/18/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code H2017 with only 3 total codes billed. Highly concentrated billing profile.
$3.23M
Total Medicaid Paid
2,790
Beneficiary Records
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,246 |
$159K |
| 2019 |
20,068 |
$2.69M |
| 2020 |
2,821 |
$391K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
23,084 |
1,910 |
$3.20M |
| H0032 |
Mental health service plan development by non-physician |
584 |
554 |
$25K |
| H0031 |
Mental health assessment, by non-physician |
467 |
326 |
$8K |