METRO EAST COMMUNITY CARE, LLC.
NPI: 1366090581
· WEST ORANGE, NJ 07052
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 08/30/2019
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H2021 with only 1 total codes billed. Highly concentrated billing profile.
$2.72M
Total Medicaid Paid
Provider Details
| Authorized Official | SHOULARS, DARRELL (EXECUTIVE DIRECTOR/CEO) |
| NPI Enumeration Date | 08/30/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
83 |
$29K |
| 2022 |
903 |
$536K |
| 2023 |
1,966 |
$1.27M |
| 2024 |
1,462 |
$890K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2021 |
Community-based wrap-around services, per 15 minutes |
4,414 |
1,092 |
$2.72M |