MT. Carmel Guild - Pact

MT. Carmel Guild - Pact was paid $5.10M by Medicaid between Jan 2018 and Mar 2020, across 1 billing code. Its largest line is H0040, Assertive community treatment program, per diem — 100% of everything it billed.

33Billing provider infoMT. CARMEL GUILD - PACT
NEWARK, NJ 07105

33aNPI1386708618assigned 12/21/2006

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$5.10M

24GClaims3,425

24DCodes billed1

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

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

Rank by total paid#113 of 446

Median peer was paid$1.09M

This provider vs. median4.7×

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 H0040 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
2018	1,848	$2.75M
2019	1,381	$2.05M
2020	196	$292K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0040	Assertive community treatment program, per diem	100%	3,425	3,425	$5.10M

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 officialMCCLENDON, ELIZABETH (ASSOCIATE EXECUTIVE DIRECTOR)

Same official

Other billing entities under MCCLENDON, ELIZABETH

Full network →

Provider	Location	Paid
MT. Carmel Guild -Residential	Union City, NJ	$16.87M
MT. Carmel Guild Icms Union	Cranford, NJ	$3.93M

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