Residential
Metro East Community Care, LLC.
Metro East Community Care, LLC. was paid $2.72M by Medicaid between May 2021 and Dec 2024, across 1 billing code. Its largest line is H2021, Community-based wrap-around services, per 15 minutes — 100% of everything it billed.
33Billing provider infoMETRO EAST COMMUNITY CARE, LLC.
WEST ORANGE, NJ 07052
WEST ORANGE, NJ 07052
33aNPI1366090581assigned 08/30/2019
33bProvider typeIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
28Total paid$2.72M
24GClaims4,414
24DCodes billed1
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in New Jersey
Rank by total paid#27 of 39
Median peer was paid$24.41M
This provider vs. median0.1×
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 Concentration100% of spending on code H2021 with only 1 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 | |
|---|---|---|---|
| 2021 | 83 | $29K | |
| 2022 | 903 | $536K | |
| 2023 | 1,966 | $1.27M | |
| 2024incomplete | 1,462 | $890K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2021 | Community-based wrap-around services, per 15 minutes | 100% | 4,414 | 1,092 | $2.72M |
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 officialSHOULARS, DARRELL (EXECUTIVE DIRECTOR/CEO)