Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MT. CARMEL GUILD - PACT

NPI: 1386708618 · NEWARK, NJ 07105 · Community/Behavioral Health Agency · NPI assigned 12/21/2006

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

100% of spending on code H0040 with only 1 total codes billed. Highly concentrated billing profile.

$5.10M
Total Medicaid Paid
3,425
Total Claims
3,425
Beneficiaries
1
Codes Billed
2018-01
First Month
2020-03
Last Month

Provider Details

Authorized OfficialMCCLENDON, ELIZABETH (ASSOCIATE EXECUTIVE DIRECTOR)
NPI Enumeration Date12/21/2006

Related Entities

Other providers sharing the same authorized official: MCCLENDON, ELIZABETH

ProviderCityStateTotal Paid
MT. CARMEL GUILD -RESIDENTIAL UNION CITY NJ $16.87M
MT. CARMEL GUILD ICMS UNION CRANFORD NJ $3.93M

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0040 Assertive community treatment program, per diem 3,425 3,425 $5.10M