Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BEHAVIORAL HEALTH SPECIALIST AT HIGHLAND LLC

NPI: 1730410481 · MONTCLAIR, NJ 07042 · Psychiatry Physician · NPI assigned 01/20/2010

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CALABRO, JOSEPH controls 20+ related entities in our dataset. Read more

$453K
Total Medicaid Paid
9,065
Total Claims
5,115
Beneficiaries
8
Codes Billed
2018-01
First Month
2021-05
Last Month

Provider Details

Authorized OfficialCALABRO, JOSEPH (PRESIDENT)
NPI Enumeration Date01/20/2010

Related Entities

Other providers sharing the same authorized official: CALABRO, JOSEPH

ProviderCityStateTotal Paid
PARK HILL EMERGENCY PHYSICIAN SERVICES YONKERS NY $3.64M
CHAMBERS EMERGENCY ASSOCIATES PA TRENTON NJ $1.83M
EMERGENCY ASSOCIATES OF MONTCLAIR LLC MONTCLAIR NJ $1.54M
STADIUM EMERGENCY ASSOCIATES SECAUCUS NJ $1.44M
EMERGENCY ASSOCIATES OF WOONSOCKET LLC WOONSOCKET RI $1.41M
MISSION HOSPITALISTS TRENTON NJ $312K
PHYSICIAN AT NEWBURGH KINGSTON NY $157K
PARKWAY ANESTHESIA ASSOCIATES LLC NORTH BERGEN NJ $115K
RENAISSANCE MEDICAL GROUP, PA NEWARK NJ $105K
LIVINGSTON HOSPITAL PHYSICIANS, P.A. LIVINGSTON NJ $41K
MIDDLESEX HOSPITAL PHYSICIANS, P.A. OLD BRIDGE NJ $39K
NORTH BERGEN HOSPITALISTS NORTH BERGEN NJ $31K
JERSEY INTENSIVIST ASSOCIATES LLC HAMILTON NJ $27K
NEWBURGH PHYSICIAN SERVICES PC TINTON FALLS NJ $21K
INTENSIVISTS AT HIGHLAND PA MONCLAIR NJ $16K
PASCACK PHYSICIAN SERVICES WESTWOOD NJ $11K
INTEGRATIVE PAIN PHYSICIAN SPECIALISTS TINTON FALLS NJ $9K
HIGHLAND PHYSICIAN SERVICES, P.A. MONTCLAIR NJ $6K
HOLMDEL PHYSICIAN ASSOCIATES FREEHOLD NJ $5K
SECAUCUS PHYSICIAN ASSOCIATES SECAUCUS NJ $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,467 $137K
2019 2,761 $114K
2020 2,691 $146K
2021 1,146 $55K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90792 Psychiatric diagnostic evaluation with medical services 912 831 $222K
99232 Subsequent hospital care, per day, moderate complexity 4,757 1,512 $122K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,256 1,080 $46K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,494 1,113 $32K
99239 Hospital discharge day management, more than 30 minutes 396 373 $17K
99222 Initial hospital care, per day, moderate complexity 162 155 $10K
99231 Subsequent hospital care, per day, straightforward or low complexity 76 39 $2K
99215 Prolong outpt/office vis 12 12 $1K