Medicaid Provider Spending

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

MENTAL HEALTH ASSOCIATION OF ESSEX AND MORRIS

NPI: 1225517204 · PASSAIC, NJ 07055 · Home Health Agency · NPI assigned 08/09/2018

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

100% of spending on code T1017 with only 1 total codes billed. Highly concentrated billing profile.

$4.04M
Total Medicaid Paid
26,051
Total Claims
8,658
Beneficiaries
1
Codes Billed
2018-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVENEZIA, NADINE (CHIEF OPERATING OFFICER)
NPI Enumeration Date08/09/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,043 $212K
2019 2,616 $532K
2020 5,553 $603K
2021 4,612 $579K
2022 4,383 $626K
2023 5,007 $796K
2024 2,837 $690K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1017 Targeted case management, each 15 minutes 26,051 8,658 $4.04M