EASTER SEALS NEW JERSEY
NPI: 1689797839
· BRIDGEWATER, NJ 08807
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 04/10/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
96% of spending on code H0019 with only 2 total codes billed. Highly concentrated billing profile.
$13.48M
Total Medicaid Paid
Provider Details
| Authorized Official | SOBERAL, OMAR (VP OF REVENUE) |
| NPI Enumeration Date | 04/10/2007 |
Related Entities
Other providers sharing the same authorized official: SOBERAL, OMAR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,730 |
$1.90M |
| 2019 |
5,922 |
$1.72M |
| 2020 |
9,906 |
$2.25M |
| 2021 |
10,283 |
$2.22M |
| 2022 |
8,863 |
$2.11M |
| 2023 |
6,474 |
$1.58M |
| 2024 |
6,481 |
$1.71M |
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 |
53,441 |
1,964 |
$12.96M |
| H2018 |
Psychosocial rehabilitation services, per diem |
2,218 |
81 |
$527K |