Clinic
Mount Carmel Guild Behavioral Health System
Mount Carmel Guild Behavioral Health System was paid $6.60M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is H0035, Mental health partial hospitalization, treatment, less than 24 hours — 54% of everything it billed.
33Billing provider infoMOUNT CARMEL GUILD BEHAVIORAL HEALTH SYSTEM
CRANFORD, NJ 07016
CRANFORD, NJ 07016
33aNPI1700117280assigned 01/22/2010
28Total paid$6.60M
24GClaims140,157
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in New Jersey
Rank by total paid#28 of 134
Median peer was paid$1.01M
This provider vs. median6.5×
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.
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 | |
|---|---|---|---|
| 2018 | 14,639 | $583K | |
| 2019 | 12,990 | $564K | |
| 2020 | 14,018 | $757K | |
| 2021 | 23,122 | $1.08M | |
| 2022 | 26,335 | $1.24M | |
| 2023 | 26,367 | $1.29M | |
| 2024incomplete | 22,686 | $1.09M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 54% | 40,667 | 3,804 | $3.54M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 25% | 18,727 | 6,354 | $1.65M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 6.3% | 1,062 | 1,058 | $413K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.1% | 6,275 | 5,946 | $400K |
| A0090 | Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest | 4.7% | 35,902 | 3,850 | $311K |
| A0425 | Ground mileage, per statute mile | 2.5% | 34,599 | 3,417 | $166K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,079 | 1,060 | $59K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 111 | 111 | $17K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 126 | 126 | $15K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,290 | 1,095 | $13K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 145 | 144 | $8K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 130 | 82 | $6K |
2 more codes
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 officialWESTERVELT, JOHN (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Mount Carmel Guild Behavioral Health System | Union City, NJ | $4.89M |
| Mount Carmel Guild Behavioral Health System | Newark, NJ | $4.54M |
| Mount Carmel Guild Behavioral Health System | Jersey City, NJ | $4.26M |
| Catholic Charities of the Archdiocese of Newark | Jersey City, NJ | $613K |
| Catholic Charities of Archiodese of Newark | Newark, NJ | $582K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.