Hamilton, Henry

Hamilton, Henry was paid $25.22M by Medicaid between Jan 2018 and Aug 2021, across 7 billing codes. Its largest line is H0019, Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem — 98% of everything it billed.

33Billing provider infoHAMILTON, HENRY
EAST ORANGE, NJ 07018

33aNPI1366685554assigned 04/17/2009

33bProvider typeCounselor

28Total paid$25.22M

24GClaims26,734

24DCodes billed7

24AFirst – last monthJan 2018 – Aug 2021

Compared with peers

Next to other Counselor providers in New Jersey

Rank by total paid#2 of 26

Median peer was paid$849K

This provider vs. median30×

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.

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	3,504	$325K
2019	8,367	$6.83M
2020	8,780	$10.09M
2021	6,083	$7.98M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0019	Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	98%	20,897	4,110	$24.78M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	1.3%	3,553	933	$326K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	1,658	470	$46K
90792	Psychiatric diagnostic evaluation with medical services	<1%	109	99	$35K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	<1%	323	122	$33K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	34	34	$5K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	<1%	160	77	$382.50

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.