Medicaid Provider Spending

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

NPI: 1396811758 · CRANFORD, NJ 07016 · Community/Behavioral Health Agency · NPI assigned 11/28/2006

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

100% of spending on code T1017 with only 1 total codes billed. Highly concentrated billing profile.

$3.93M
Total Medicaid Paid
37,143
Total Claims
8,182
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCCLENDON, ELIZABETH (ASSOCIATE EXECUTIVE DIRECTOR)
NPI Enumeration Date11/28/2006

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 - PACT NEWARK NJ $5.10M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,630 $1.04M
2019 8,341 $944K
2020 7,357 $661K
2021 5,172 $487K
2022 3,343 $378K
2023 2,124 $277K
2024 1,176 $146K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1017 Targeted case management, each 15 minutes 37,143 8,182 $3.93M