Derlan Enterprises
Derlan Enterprises was paid $3.95M by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is H0035, Mental health partial hospitalization, treatment, less than 24 hours — 87% of everything it billed.
33Billing provider infoDERLAN ENTERPRISES
EAST ORANGE, NJ 07017
EAST ORANGE, NJ 07017
33aNPI1306063557assigned 04/19/2007
33bProvider typeCase Manager/Care Coordinator
28Total paid$3.95M
24GClaims119,529
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in New Jersey
Rank by total paid#6 of 33
Median peer was paid$1.03M
This provider vs. median3.8×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 25,721 | $712K | |
| 2019 | 25,839 | $710K | |
| 2020 | 7,900 | $362K | |
| 2021 | 5,695 | $510K | |
| 2022 | 15,054 | $478K | |
| 2023 | 19,963 | $593K | |
| 2024incomplete | 19,357 | $591K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 87% | 44,498 | 2,330 | $3.43M |
| A0090 | Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest | 8.5% | 37,495 | 1,965 | $337K |
| A0425 | Ground mileage, per statute mile | 4.7% | 37,423 | 1,962 | $187K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 113 | 76 | $2K |
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 officialLIZARDO, ARNOLD (PRESIDENT)