Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

The ARC of Cape May County

The ARC of Cape May County was paid $53.82M by Medicaid between Feb 2018 and Dec 2024, across 3 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 93% of everything it billed.

33Billing provider infoTHE ARC OF CAPE MAY COUNTY
CAPE MAY COURT HOUSE, NJ 08210
33aNPI1255714689assigned 07/02/2015
33bProvider typeCase Management Agency
28Total paid$53.82M
24GClaims175,334
24DCodes billed3
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Case Management Agency providers in New Jersey

Rank by total paid#16 of 161
Median peer was paid$2.07M
This provider vs. median26×

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 Concentration93% of spending on code H2016 with only 3 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
201817,988$4.85M
201928,819$8.01M
202025,760$7.43M
202124,331$7.35M
202223,556$7.41M
202327,810$9.26M
2024incomplete27,070$9.49M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2016 Community support for mental illness or disability, billed per dayComprehensive community support services, per diem 93% 153,151 5,370 $50.08M
T2021 Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes 6.9% 21,777 1,331 $3.71M
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 406 131 $29K

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 officialLEE, BYRON (CHIEF COMPLIANCE & QI OFFICER)
Same official

Other billing entities under LEE, BYRON

Full network →
ProviderLocationPaid
Maxima Group Behavioral Services, INCHarvey, LA$1.17M
Maxima Group Behavioral Services, INCFranklinton, LA$206K
Maxima Group Behavioral Services INCHarvey, LA$164K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.