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

Keystone Community Resources, INC.

Keystone Community Resources, INC. was paid $57.97M by Medicaid between May 2019 and Dec 2024, across 2 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 92% of everything it billed.

33Billing provider infoKEYSTONE COMMUNITY RESOURCES, INC.
PHILLIPSBURG, NJ 08865
33aNPI1699280768assigned 12/11/2017
28Total paid$57.97M
24GClaims14,399
24DCodes billed2
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers

Next to other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in New Jersey

Rank by total paid#15 of 39
Median peer was paid$24.41M
This provider vs. median2.4×

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 Concentration92% of spending on code H2016 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
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
20191,374$3.69M
20201,504$9.55M
20211,331$9.54M
20222,447$11.68M
20233,872$11.92M
2024incomplete3,871$11.59M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2016 Community support for mental illness or disability, billed per dayComprehensive community support services, per diem 92% 6,627 4,324 $53.12M
T2021 Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes 8.4% 7,772 1,781 $4.85M

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 officialBROWN-YADLOSKY, LAURA (PRESIDENT/CEO)