Medicaid Provider Spending

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

HERITAGE PARTIAL CARE LLC

NPI: 1346969128 · ORANGE, NJ 07050 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 08/24/2022

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

97% of spending on code H0035 with only 2 total codes billed. Highly concentrated billing profile.

$1.29M
Total Medicaid Paid
17,826
Total Claims
1,254
Beneficiaries
2
Codes Billed
2023-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMALTS, RENEE (OWNER)
NPI Enumeration Date08/24/2022

Related Entities

Other providers sharing the same authorized official: MALTS, RENEE

ProviderCityStateTotal Paid
JORE VENTURES NEWARK NJ $10.59M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 9,037 $541K
2024 8,789 $750K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0035 Mental health partial hospitalization, treatment, less than 24 hours 13,341 911 $1.25M
A0090 Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest 4,485 343 $39K