Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HERNANDEZ, WILLIAM

NPI: 1215385315 · NEWARK, NJ 07107 · Social Worker · NPI assigned 05/30/2016

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code H0036 with only 1 total codes billed. Highly concentrated billing profile.

$1.10M
Total Medicaid Paid
5,633
Total Claims
2,070
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,167 $226K
2019 873 $147K
2020 915 $127K
2021 709 $154K
2022 665 $143K
2023 563 $126K
2024 741 $174K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 5,633 2,070 $1.10M