Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Sovereign Care Services

Sovereign Care Services was paid $2.58M by Medicaid between Mar 2022 and Oct 2024, across 6 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 77% of everything it billed.

33Billing provider infoSOVEREIGN CARE SERVICES
LAWRENCEVILLE, NJ 08648
33aNPI1780290445assigned 09/18/2020
28Total paid$2.58M
24GClaims14,311
24DCodes billed6
24AFirst – last monthMar 2022 – Oct 2024
Compared with peers

Next to other Speech-Language Pathologist providers in New Jersey

Rank by total paid#2 of 105
Median peer was paid$30K
This provider vs. median86×

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

$0$100K$200K2018201920202021202220232024
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
20224,004$653K
20235,337$707K
2024incomplete4,970$1.22M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97153 Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes 77% 8,420 586 $1.97M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 18% 3,998 545 $472K
H0032 Mental health service plan development by non-physician 3.9% 1,238 364 $100K
97156 <1% 325 162 $20K
97151 <1% 251 51 $10K
97154 <1% 79 15 $2K

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 officialRICKETTS, ANNEKA (CEO)