Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATION

NPI: 1518009588 · PRINCETON, NJ 08540 · Substance Use Disorder Rehabilitation Hospital Unit · NPI assigned 02/13/2007

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

98% of spending on code H0035 with only 3 total codes billed. Highly concentrated billing profile.

$33.91M
Total Medicaid Paid
165,065
Total Claims
27,396
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVALLADARES, GUILHERME (CHIEF FINANCIAL OFFICER)
Parent OrganizationPRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATION
NPI Enumeration Date02/13/2007

Related Entities

Other providers sharing the same authorized official: VALLADARES, GUILHERME

ProviderCityStateTotal Paid
PRINCETON HEALTHCARE PROVIDER GROUP LLC PLAINSBORO NJ $88K
PRINCETON HEALTHCARE PROVIDER GROUP LLC PLAINSBORO NJ $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,148 $5.78M
2019 27,330 $5.90M
2020 24,056 $4.54M
2021 26,543 $4.88M
2022 22,757 $4.29M
2023 19,329 $4.22M
2024 18,902 $4.29M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0035 Mental health partial hospitalization, treatment, less than 24 hours 156,306 18,751 $33.22M
90792 Psychiatric diagnostic evaluation with medical services 8,747 8,633 $684K
90791 Psychiatric diagnostic evaluation 12 12 $2K