Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Residential

Prime Healthcare Services - ST. Mary's Passaic, LLC

Prime Healthcare Services - ST. Mary's Passaic, LLC was paid $7.25M by Medicaid between Jan 2018 and Nov 2024, across 1 billing code. Its largest line is 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 — 100% of everything it billed.

33Billing provider infoPRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC, LLC
PASSAIC, NJ 07055
33aNPI1689093841assigned 04/15/2014
28Total paid$7.25M
24GClaims32,977
24DCodes billed1
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Mental Illness Community Based Residential Treatment Facility providers in New Jersey

Rank by total paid#16 of 27
Median peer was paid$8.78M
This provider vs. median0.8×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code H0019 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20181,840$827K
20191,980$914K
20204,023$798K
20214,602$932K
20226,936$1.20M
20237,801$1.47M
2024incomplete5,795$1.10M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 100% 32,977 1,672 $7.25M

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 officialSCHELL, TROY (SECRETARY, GENERAL COUNSEL)
Same official

Other billing entities under SCHELL, TROY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.