Mathias, Keli

Mathias, Keli was paid $1.44M by Medicaid between Jan 2018 and Nov 2020, across 1 billing code. Its largest line is H0036, community psychiatric support and treatment, per 15 minutes — 100% of everything it billed.

33Billing provider infoMATHIAS, KELI
VILLAS, NJ 08251

33aNPI1801237532assigned 07/10/2013

33bProvider typeClinical Social Worker

28Total paid$1.44M

24GClaims6,908

24DCodes billed1

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Clinical Social Worker providers in New Jersey

Rank by total paid#23 of 103

Median peer was paid$209K

This provider vs. median6.9×

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.

Single-Code Concentration100% of spending on code H0036 with only 1 total codes billed. Highly concentrated billing profile.

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0036	Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes	100%	6,908	1,883	$1.44M

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.