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

Behavioral Health Specialist at Highland LLC

Behavioral Health Specialist at Highland LLC was paid $453K by Medicaid between Jan 2018 and May 2021, across 8 billing codes. Its largest line is 90792, Psychiatric diagnostic evaluation with medical services — 49% of everything it billed.

33Billing provider infoBEHAVIORAL HEALTH SPECIALIST AT HIGHLAND LLC
MONTCLAIR, NJ 07042
33aNPI1730410481assigned 01/20/2010
33bProvider typePsychiatry Physician
28Total paid$453K
24GClaims9,065
24DCodes billed8
24AFirst – last monthJan 2018 – May 2021
Compared with peers

Next to other Psychiatry Physician providers in New Jersey

Rank by total paid#24 of 130
Median peer was paid$19K
This provider vs. median24×

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.

Entity ProliferationAuthorized official CALABRO, JOSEPH controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
20182,467$137K
20192,761$114K
20202,691$146K
20211,146$55K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90792 Psychiatric diagnostic evaluation with medical services 49% 912 831 $222K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 27% 4,757 1,512 $122K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10% 1,256 1,080 $46K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.2% 1,494 1,113 $32K
99239 Hospital discharge day management, more than 30 minutes 3.9% 396 373 $17K
99222 Initial hospital care, per day, moderate complexity 2.3% 162 155 $10K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 76 39 $2K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 12 12 $1K

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 officialCALABRO, JOSEPH (PRESIDENT)
Same official

Other billing entities under CALABRO, JOSEPH

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.