Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ZAMBRANO, PILAR

NPI: 1407233190 · CLIFTON, NJ 07013 · Professional Counselor · NPI assigned 05/01/2015

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

100% of spending on code H0036 with only 1 total codes billed. Highly concentrated billing profile.

$1.16M
Total Medicaid Paid
5,628
Total Claims
1,993
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,042 $215K
2019 1,212 $246K
2020 867 $152K
2021 774 $159K
2022 525 $108K
2023 510 $113K
2024 698 $170K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 5,628 1,993 $1.16M