EASTER SEALS NEW JERSEY
NPI: 1437271293
· FLEMINGTON, NJ 08822
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 04/04/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
96% of spending on code H0019 with only 2 total codes billed. Highly concentrated billing profile.
$8.78M
Total Medicaid Paid
Provider Details
| Authorized Official | SOBERAL, OMAR (VP OF REVENUE) |
| NPI Enumeration Date | 04/04/2007 |
Related Entities
Other providers sharing the same authorized official: SOBERAL, OMAR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,452 |
$1.32M |
| 2019 |
6,851 |
$1.41M |
| 2020 |
5,360 |
$1.16M |
| 2021 |
6,136 |
$1.31M |
| 2022 |
5,863 |
$1.22M |
| 2023 |
4,191 |
$931K |
| 2024 |
6,238 |
$1.44M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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 |
39,428 |
1,496 |
$8.45M |
| H2018 |
Psychosocial rehabilitation services, per diem |
1,663 |
70 |
$337K |