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 · 320800000X

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

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 1,134 479 $209K
H0039 Asser com tx face-face/15min 1,333 483 $97K
H2015 Comp comm supp svc, 15 min 470 191 $37K