Hernandez, William

Hernandez, William was paid $1.10M by Medicaid between Jan 2018 and Nov 2024, across 1 billing code. Its largest line is H0036, community psychiatric support and treatment, per 15 minutes — 100% of everything it billed.

33Billing provider infoHERNANDEZ, WILLIAM
NEWARK, NJ 07107

33aNPI1215385315assigned 05/30/2016

33bProvider typeSocial Worker

28Total paid$1.10M

24GClaims5,633

24DCodes billed1

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Social Worker providers in New Jersey

Rank by total paid#6 of 28

Median peer was paid$294K

This provider vs. median3.7×

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.

Single-Code Concentration100% of spending on code H0036 with only 1 total codes billed. Highly concentrated billing profile.

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

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	100%	5,633	2,070	$1.10M

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.