Medicaid Provider Spending

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

SPECIAL NEEDS RESIDENCE LLC

NPI: 1811399702 · WARREN, NJ 07059 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 09/23/2014

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

96% of spending on code H2016 with only 2 total codes billed. Highly concentrated billing profile.

$19.05M
Total Medicaid Paid
9,634
Total Claims
2,325
Beneficiaries
2
Codes Billed
2019-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCHAFFER, DEENA (MEMBER)
NPI Enumeration Date09/23/2014

Related Entities

Other providers sharing the same authorized official: SCHAFFER, DEENA

ProviderCityStateTotal Paid
MT BETHEL DAY PROGRAM LLC WARREN NJ $12.71M
AFC FORSGATE LESSEE, LLC MONROE NJ $11.33M
BALD EAGLE SENIOR LIVING WEST MILFORD NJ $1.88M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 85 $641K
2020 423 $2.20M
2021 541 $3.32M
2022 568 $3.86M
2023 1,074 $4.46M
2024 6,943 $4.57M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2016 Comprehensive community support services, per diem 8,888 1,627 $18.34M
H2021 Community-based wrap-around services, per 15 minutes 746 698 $713K