Clinic
CPC Behavioral Healthcare, INC
CPC Behavioral Healthcare, INC was paid $540K by Medicaid between Nov 2018 and Apr 2022, across 8 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 61% of everything it billed.
33Billing provider infoCPC BEHAVIORAL HEALTHCARE, INC
NEPTUNE CITY, NJ 07753
NEPTUNE CITY, NJ 07753
33aNPI1639678535assigned 02/06/2018
28Total paid$540K
24GClaims6,269
24DCodes billed8
24AFirst – last monthNov 2018 – Apr 2022
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in New Jersey
Rank by total paid#82 of 134
Median peer was paid$1.01M
This provider vs. median0.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 18 | $1K | |
| 2019 | 1,169 | $100K | |
| 2020 | 2,661 | $226K | |
| 2021 | 2,263 | $199K | |
| 2022 | 158 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 61% | 3,770 | 2,146 | $331K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 919 | 895 | $67K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6.3% | 312 | 288 | $34K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 5.7% | 76 | 76 | $31K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.4% | 438 | 330 | $29K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.0% | 588 | 574 | $27K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.5% | 118 | 118 | $19K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 48 | 48 | $3K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSANTORA, STELLA (CIO)
| Provider | Location | Paid |
|---|---|---|
| CPC Behavioral Healthcare | Red Bank, NJ | $80.66M |
| CPC Behavioral Heathcare, INC | Howell, NJ | $1.94M |
| CPC Behavioral Healthcare, INC | Howell, NJ | $358K |
| CPC Behavioral Healthcare, INC | Neptune City, NJ | $84K |
| CPC Behavioral Healthcare | Red Bank, NJ | $79K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.