Medicaid Provider Spending

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

HOPE THERAPEUTIC SERVICES, LLC.

NPI: 1255789335 · WEST ORANGE, NJ 07052 · Community/Behavioral Health Agency · NPI assigned 05/30/2016

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

91% of spending on code H0036 with only 3 total codes billed. Highly concentrated billing profile.

$1.74M
Total Medicaid Paid
10,281
Total Claims
3,631
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialFDYFIL, FELICIA (EXECUTIVE DIRECTOR)
NPI Enumeration Date05/30/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,756 $455K
2019 2,531 $410K
2020 2,016 $258K
2021 1,280 $245K
2022 623 $138K
2023 675 $149K
2024 400 $90K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 8,342 2,900 $1.59M
H2014 Skills training and development, per 15 minutes 1,927 719 $151K
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 12 12 $6K