Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › CAPE MAY COURT HOUSE › THE ARC OF CAPE MAY COUNTY

THE ARC OF CAPE MAY COUNTY

NPI: 1255714689 · CAPE MAY COURT HOUSE, NJ 08210 · Case Management Agency · NPI assigned 07/02/2015

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

93% of spending on code H2016 with only 3 total codes billed. Highly concentrated billing profile.

$53.82M
Total Medicaid Paid
175,334
Total Claims
6,832
Beneficiaries
3
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEE, BYRON (CHIEF COMPLIANCE & QI OFFICER)
NPI Enumeration Date07/02/2015

Related Entities

Other providers sharing the same authorized official: LEE, BYRON

ProviderCityStateTotal Paid
MAXIMA GROUP BEHAVIORAL SERVICES, INC HARVEY LA $1.17M
MAXIMA GROUP BEHAVIORAL SERVICES, INC FRANKLINTON LA $206K
MAXIMA GROUP BEHAVIORAL SERVICES INC HARVEY LA $164K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,988 $4.85M
2019 28,819 $8.01M
2020 25,760 $7.43M
2021 24,331 $7.35M
2022 23,556 $7.41M
2023 27,810 $9.26M
2024 27,070 $9.49M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2016 Comprehensive community support services, per diem 153,151 5,370 $50.08M
T2021 Day habilitation, waiver; per 15 minutes 21,777 1,331 $3.71M
H0004 Behavioral health counseling and therapy, per 15 minutes 406 131 $29K