Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Crossroads of New Jersey Management, LLC

Crossroads of New Jersey Management, LLC was paid $858K by Medicaid between Jul 2020 and Apr 2023, across 8 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 92% of everything it billed.

33Billing provider infoCROSSROADS OF NEW JERSEY MANAGEMENT, LLC
TOMS RIVER, NJ 08755
33aNPI1174015093assigned 06/06/2018
28Total paid$858K
24GClaims15,421
24DCodes billed8
24AFirst – last monthJul 2020 – Apr 2023
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in New Jersey

Rank by total paid#10 of 27
Median peer was paid$554K
This provider vs. median1.5×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MCCORMAC, RUPERT controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
2020346$6K
20214,191$292K
20227,799$439K
20233,085$121K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 92% 11,215 3,091 $790K
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) 6.5% 3,527 855 $56K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 126 118 $5K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 185 166 $4K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity <1% 27 25 $3K
80305 <1% 167 131 $375.89
86580 <1% 86 58 $44.00
81025 <1% 88 52 $9.00

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 officialMCCORMAC, RUPERT (PRESIDENT)
Same official

Other billing entities under MCCORMAC, RUPERT

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.