Medicaid Provider Spending

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

KELSCH ASSOCIATES

NPI: 1235574617 · WOODBURY HEIGHTS, NJ 08097 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 04/30/2013

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

91% of spending on code H2016 with only 2 total codes billed. Highly concentrated billing profile.

$117.43M
Total Medicaid Paid
97,212
Total Claims
13,608
Beneficiaries
2
Codes Billed
2018-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSEIGEL, STACEY (CHIEF OF STAFF)
NPI Enumeration Date04/30/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 843 $4.97M
2019 2,432 $14.45M
2020 3,126 $15.21M
2021 2,427 $17.38M
2022 2,598 $20.93M
2023 34,064 $22.36M
2024 51,722 $22.13M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2016 Comprehensive community support services, per diem 74,999 9,698 $106.60M
T2021 Day habilitation, waiver; per 15 minutes 22,213 3,910 $10.83M