HERNANDEZ, NELSON
NPI: 1699224782
· ELIZABETH, NJ 07202
· Mental Health Counselor
· NPI assigned 09/29/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code H0036 with only 2 total codes billed. Highly concentrated billing profile.
$2.39M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,484 |
$308K |
| 2020 |
2,555 |
$417K |
| 2021 |
1,548 |
$372K |
| 2022 |
1,587 |
$386K |
| 2023 |
1,921 |
$479K |
| 2024 |
1,684 |
$426K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
9,443 |
2,441 |
$2.27M |
| H2014 |
Skills training and development, per 15 minutes |
1,336 |
246 |
$116K |