Medicaid Provider Spending

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

TSIPERFAL, GARY

NPI: 1316446867 · OLD BRIDGE, NJ 08857 · Clinical Social Worker · NPI assigned 02/09/2018

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

100% of spending on code H0036 with only 1 total codes billed. Highly concentrated billing profile.

$1.26M
Total Medicaid Paid
8,590
Total Claims
1,768
Beneficiaries
1
Codes Billed
2019-04
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 39 $9K
2020 1,980 $223K
2021 2,297 $353K
2022 1,555 $209K
2023 1,771 $290K
2024 948 $176K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 8,590 1,768 $1.26M