Mercer County Special Services School District

Mercer County Special Services School District was paid $10.55M by Medicaid between Jan 2018 and Jun 2024, across 1 billing code. Its largest line is T1018, School-based individualized education program (iep) services, bundled — 100% of everything it billed.

33Billing provider infoMERCER COUNTY SPECIAL SERVICES SCHOOL DISTRICT
HAMILTON, NJ 08690

33aNPI1467676114assigned 04/12/2007

33bProvider typeLocal Education Agency (LEA)

28Total paid$10.55M

24GClaims170,161

24DCodes billed1

24AFirst – last monthJan 2018 – Jun 2024

Compared with peers

Next to other Local Education Agency (LEA) providers in New Jersey

Rank by total paid#19 of 333

Median peer was paid$1.18M

This provider vs. median8.9×

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 T1018 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	33,496	$2.08M
2019	33,409	$2.07M
2020	13,367	$828K
2021	18,076	$1.12M
2022	24,891	$1.54M
2023	30,650	$1.90M
2024incomplete	16,272	$1.01M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1018	School-based individualized education program (iep) services, bundled	100%	170,161	19,197	$10.55M

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 officialRICCI, ANNMARIE (HUMAN RESOURCES SECRETARY)