FAMILY ENHANCEMENT LLC
NPI: 1669837928
· PASSAIC, NJ 07055
· Clinical Social Worker
· NPI assigned 12/30/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code H0036 with only 2 total codes billed. Highly concentrated billing profile.
$1.05M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
572 |
$105K |
| 2019 |
1,518 |
$264K |
| 2020 |
1,208 |
$170K |
| 2021 |
1,097 |
$181K |
| 2022 |
640 |
$101K |
| 2023 |
619 |
$130K |
| 2024 |
480 |
$103K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
6,105 |
1,926 |
$1.04M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
29 |
29 |
$10K |