NPI: 1588927750 · NEWARK, NJ 07103 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 06/21/2012
| Authorized Official | ELLU, KATHERINE (EXEC. DIRECTOR) |
| NPI Enumeration Date | 06/21/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 676 | $372K |
| 2019 | 2,435 | $844K |
| 2020 | 2,297 | $1.25M |
| 2021 | 2,142 | $2.29M |
| 2022 | 6,713 | $2.33M |
| 2023 | 6,011 | $1.42M |
| 2024 | 2,656 | $988K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2016 | Comprehensive community support services, per diem | 13,045 | 2,081 | $6.58M |
| T2021 | Day habilitation, waiver; per 15 minutes | 2,263 | 1,075 | $1.36M |
| H2015 | Comprehensive community support services, per 15 minutes | 5,416 | 1,630 | $726K |
| H2021 | Community-based wrap-around services, per 15 minutes | 1,137 | 157 | $585K |
| T2024 | Service assessment/plan of care development, waiver | 857 | 857 | $209K |
| S9125 | Respite care, in the home, per diem | 212 | 49 | $40K |