EASTER SEALS NEW JERSEY
NPI: 1316060577
· HACKETTSTOWN, NJ 07840
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 04/10/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code H0019 with only 2 total codes billed. Highly concentrated billing profile.
$14.23M
Total Medicaid Paid
Provider Details
| Authorized Official | SOBERAL, OMAR (VP OF REVENUE) |
| NPI Enumeration Date | 04/10/2007 |
Related Entities
Other providers sharing the same authorized official: SOBERAL, OMAR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,281 |
$2.50M |
| 2019 |
8,113 |
$2.19M |
| 2020 |
7,160 |
$1.92M |
| 2021 |
7,827 |
$2.10M |
| 2022 |
8,233 |
$2.26M |
| 2023 |
5,449 |
$1.57M |
| 2024 |
5,631 |
$1.69M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
49,259 |
1,739 |
$13.57M |
| H2018 |
Psychosocial rehabilitation services, per diem |
2,435 |
86 |
$655K |