Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MOUNT CARMEL GUILD BEHAVIORAL HEALTH SYSTEMS

NPI: 1487720843 · NEWARK, NJ 07114 · 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.

$3.87M
Total Medicaid Paid
27,741
Total Claims
6,777
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPATTON, ABEL (COMPLIANCE OFFICE)
Parent OrganizationMOUNT CARMEL GUILD BEHAVIORAL HEALTH SYSTEM
NPI Enumeration Date11/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,622 $1.22M
2019 4,582 $862K
2020 7,919 $659K
2021 4,496 $365K
2022 1,967 $267K
2023 2,320 $402K
2024 835 $103K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1017 Targeted case management, each 15 minutes 27,741 6,777 $3.87M