INSPIRE THE YOUTH LLC
NPI: 1326431057
· PASSAIC, NJ 07055
· Community/Behavioral Health Agency
· NPI assigned 03/05/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
94% of spending on code H0036 with only 3 total codes billed. Highly concentrated billing profile.
$6.01M
Total Medicaid Paid
Provider Details
| Authorized Official | OSORIO, NELSON (MANAGING DIRECTOR) |
| NPI Enumeration Date | 03/05/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,158 |
$675K |
| 2019 |
3,215 |
$735K |
| 2020 |
3,704 |
$662K |
| 2021 |
3,804 |
$881K |
| 2022 |
4,126 |
$957K |
| 2023 |
4,844 |
$1.12M |
| 2024 |
4,111 |
$982K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
24,713 |
6,811 |
$5.67M |
| H2014 |
Skills training and development, per 15 minutes |
2,235 |
652 |
$343K |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
14 |
14 |
$5K |