Atlanticare Behavioral Health, INC

Atlanticare Behavioral Health, INC was paid $2.59M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is H0035, Mental health partial hospitalization, treatment, less than 24 hours — 90% of everything it billed.

33Billing provider infoATLANTICARE BEHAVIORAL HEALTH, INC
GALLOWAY, NJ 08205

33aNPI1336668342assigned 09/12/2017

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$2.59M

24GClaims66,387

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Community/Behavioral Health Agency providers in New Jersey

Rank by total paid#151 of 446

Median peer was paid$1.09M

This provider vs. median2.4×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration90% of spending on code H0035 with only 3 total codes billed. Highly concentrated billing profile.

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	20,182	$557K
2019	17,507	$505K
2020	7,215	$319K
2021	7,679	$358K
2022	7,839	$339K
2023	3,002	$250K
2024incomplete	2,963	$265K

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	90%	29,296	3,516	$2.34M
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	6.4%	18,539	2,320	$165K
A0425	Ground mileage, per statute mile	3.5%	18,552	2,328	$92K

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 officialHELMS, PATRICIA (DIRECTOR, INFORMAITON MANAGEMENT)

Parent organizationATLANTICARE BEHAVIORAL HEALTH, INC

Same official

Other billing entities under HELMS, PATRICIA

Full network →

Provider	Location	Paid
Atlanticare Behavioral Health, INC	Atlantic City, NJ	$5.64M
Atlanticare Behavioral Health, INC	Atlantic City, NJ	$399K
Atlanticare Behavioral Health, INC	Hammonton, NJ	$135K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.