Hernandez, Nelson

Hernandez, Nelson was paid $2.39M by Medicaid between Feb 2019 and Dec 2024, across 2 billing codes. Its largest line is H0036, community psychiatric support and treatment, per 15 minutes — 95% of everything it billed.

33Billing provider infoHERNANDEZ, NELSON
ELIZABETH, NJ 07202

33aNPI1699224782assigned 09/29/2016

33bProvider typeMental Health Counselor

28Total paid$2.39M

24GClaims10,779

24DCodes billed2

24AFirst – last monthFeb 2019 – Dec 2024

Compared with peers

Next to other Mental Health Counselor providers in New Jersey

Rank by total paid#20 of 84

Median peer was paid$669K

This provider vs. median3.6×

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 Concentration95% of spending on code H0036 with only 2 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

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

Year	Claims	Paid
2019	1,484	$308K
2020	2,555	$417K
2021	1,548	$372K
2022	1,587	$386K
2023	1,921	$479K
2024incomplete	1,684	$426K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0036	Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes	95%	9,443	2,441	$2.27M
H2014	Skills training and development, per 15 minutes	4.8%	1,336	246	$116K

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.