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PRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC, LLC
PRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC, LLC
NPI: 1689093841
· PASSAIC, NJ 07055
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 04/15/2014
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H0019 with only 1 total codes billed. Highly concentrated billing profile.
$7.25M
Total Medicaid Paid
Provider Details
| Authorized Official | SCHELL, TROY (SECRETARY, GENERAL COUNSEL) |
| NPI Enumeration Date | 04/15/2014 |
Related Entities
Other providers sharing the same authorized official: SCHELL, TROY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,840 |
$827K |
| 2019 |
1,980 |
$914K |
| 2020 |
4,023 |
$798K |
| 2021 |
4,602 |
$932K |
| 2022 |
6,936 |
$1.20M |
| 2023 |
7,801 |
$1.47M |
| 2024 |
5,795 |
$1.10M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
32,977 |
1,672 |
$7.25M |