MT. CARMEL GUILD -RESIDENTIAL
NPI: 1578632402
· UNION CITY, NJ 07087
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 11/07/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code H0019 with only 2 total codes billed. Highly concentrated billing profile.
$16.87M
Total Medicaid Paid
Provider Details
| Authorized Official | MCCLENDON, ELIZABETH (ASSOCIATE EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 11/07/2006 |
Related Entities
Other providers sharing the same authorized official: MCCLENDON, ELIZABETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,397 |
$2.18M |
| 2019 |
3,469 |
$2.27M |
| 2020 |
3,727 |
$2.52M |
| 2021 |
3,633 |
$2.47M |
| 2022 |
3,658 |
$2.52M |
| 2023 |
3,810 |
$2.46M |
| 2024 |
3,209 |
$2.45M |
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 |
24,119 |
2,541 |
$16.35M |
| H2018 |
Psychosocial rehabilitation services, per diem |
784 |
89 |
$521K |