Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC, LLC

NPI: 1679992929 · PASSAIC, NJ 07055 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 04/15/2014

$342K
Total Medicaid Paid
2,937
Total Claims
1,153
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSCHELL, TROY (SECRETARY, GENERAL COUNSEL)
NPI Enumeration Date04/15/2014

Related Entities

Other providers sharing the same authorized official: SCHELL, TROY

ProviderCityStateTotal Paid
PRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC LLC PASSAIC NJ $56.16M
PRIME HEALTHCARE ANAHEIM, LLC ANAHEIM CA $8.85M
PRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC, LLC PASSAIC NJ $7.25M
PRIME HEALTHCARE SERVICES ENCINO LLC ENCINO CA $1.52M
PRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC, LLC PASSAIC NJ $9K
PRIME HEALTHCARE CENTINELA LLC INGLEWOOD CA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,378 $195K
2019 454 $34K
2020 350 $25K
2021 277 $20K
2022 79 $6K
2023 115 $14K
2024 284 $49K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1017 Targeted case management, each 15 minutes 1,134 479 $209K
H0039 Assertive community treatment, face-to-face, per 15 minutes 1,333 483 $97K
H2015 Comprehensive community support services, per 15 minutes 470 191 $37K