Clinic
Mount Carmel Guild Behavioral Health System
Mount Carmel Guild Behavioral Health System was paid $4.54M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoMOUNT CARMEL GUILD BEHAVIORAL HEALTH SYSTEM
NEWARK, NJ 07114
NEWARK, NJ 07114
33aNPI1174854749assigned 01/21/2010
28Total paid$4.54M
24GClaims68,894
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in New Jersey
Rank by total paid#34 of 134
Median peer was paid$1.01M
This provider vs. median4.5×
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.
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 | 15,434 | $935K | |
| 2019 | 6,740 | $460K | |
| 2020 | 5,191 | $330K | |
| 2021 | 6,306 | $481K | |
| 2022 | 11,082 | $789K | |
| 2023 | 12,858 | $819K | |
| 2024incomplete | 11,283 | $725K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 20,201 | 19,560 | $1.27M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 27% | 14,970 | 7,067 | $1.24M |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 21% | 11,470 | 1,158 | $962K |
| 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 | 8.9% | 4,529 | 4,208 | $403K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 6.6% | 797 | 794 | $299K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 2,495 | 2,464 | $94K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.1% | 823 | 667 | $51K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.1% | 319 | 318 | $48K |
| A0090 | Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest | 1.0% | 5,729 | 739 | $47K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 371 | 368 | $40K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 309 | 266 | $31K |
| A0425 | Ground mileage, per statute mile | <1% | 5,185 | 675 | $24K |
4 more codes
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 officialWESTERVELT, JOHN (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Mount Carmel Guild Behavioral Health System | Cranford, NJ | $6.60M |
| Mount Carmel Guild Behavioral Health System | Union City, NJ | $4.89M |
| Mount Carmel Guild Behavioral Health System | Jersey City, NJ | $4.26M |
| Catholic Charities of the Archdiocese of Newark | Jersey City, NJ | $613K |
| Catholic Charities of Archiodese of Newark | Newark, NJ | $582K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.