Medicaid Provider Spending

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

MATHIAS, KELI

NPI: 1801237532 · VILLAS, NJ 08251 · Clinical Social Worker · NPI assigned 07/10/2013

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code H0036 with only 1 total codes billed. Highly concentrated billing profile.

$1.44M
Total Medicaid Paid
6,908
Total Claims
1,883
Beneficiaries
1
Codes Billed
2018-01
First Month
2020-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,980 $404K
2019 2,397 $544K
2020 2,531 $492K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 6,908 1,883 $1.44M