Agency
Transformational Healthcare Services
Transformational Healthcare Services was paid $725K by Medicaid between Feb 2021 and Dec 2024, across 5 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 80% of everything it billed.
33Billing provider infoTRANSFORMATIONAL HEALTHCARE SERVICES
GLEN RIDGE, NJ 07028
GLEN RIDGE, NJ 07028
33aNPI1669082756assigned 08/04/2020
33bProvider typeHome Health Agency
28Total paid$725K
24GClaims8,570
24DCodes billed5
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in New Jersey
Rank by total paid#222 of 343
Median peer was paid$2.32M
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2021 | 377 | $34K | |
| 2022 | 1,294 | $95K | |
| 2023 | 3,191 | $269K | |
| 2024incomplete | 3,708 | $326K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 80% | 7,075 | 2,471 | $582K |
| 97803 | 9.0% | 893 | 650 | $66K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 8.2% | 373 | 353 | $60K |
| 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 | 1.4% | 106 | 50 | $10K |
| 97802 | 1.1% | 123 | 102 | $8K |
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 officialMERTYL, SIMEON (CEO PRESIDENT)