SPECIAL HOMES OF NEW JERSEY, INC.
NPI: 1639500796
· DENVILLE, NJ 07834
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 11/27/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H2016 with only 3 total codes billed. Highly concentrated billing profile.
$59.55M
Total Medicaid Paid
Provider Details
| Authorized Official | MCKEON, TERRENCE (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 11/27/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,801 |
$3.00M |
| 2019 |
21,793 |
$6.58M |
| 2020 |
25,048 |
$8.31M |
| 2021 |
24,046 |
$8.49M |
| 2022 |
26,854 |
$9.50M |
| 2023 |
29,236 |
$11.83M |
| 2024 |
26,069 |
$11.85M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
154,020 |
5,384 |
$59.30M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
8,116 |
514 |
$179K |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
711 |
177 |
$73K |