EDNI COUNSELING SERVICES
NPI: 1699139030
· HACKENSACK, NJ 07601
· Mental Health Counselor
· NPI assigned 04/12/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code H0036 with only 2 total codes billed. Highly concentrated billing profile.
$15.04M
Total Medicaid Paid
Provider Details
| Authorized Official | LOZANO, EDGAR (OWNER) |
| NPI Enumeration Date | 04/12/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,767 |
$1.14M |
| 2019 |
9,828 |
$1.65M |
| 2020 |
14,493 |
$1.85M |
| 2021 |
15,490 |
$2.75M |
| 2022 |
12,541 |
$2.36M |
| 2023 |
13,976 |
$2.92M |
| 2024 |
11,081 |
$2.38M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
79,705 |
22,980 |
$14.68M |
| H2014 |
Skills training and development, per 15 minutes |
4,471 |
1,199 |
$365K |