MERCEDES & FAMILY
NPI: 1811452642
· GARFIELD, NJ 07026
· Mental Health Counselor
· NPI assigned 02/06/2019
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
93% of spending on code H0036 with only 2 total codes billed. Highly concentrated billing profile.
$1.64M
Total Medicaid Paid
Provider Details
| Authorized Official | MERCEDES, BILLY (PROVIDER) |
| NPI Enumeration Date | 02/06/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
555 |
$118K |
| 2020 |
1,327 |
$258K |
| 2021 |
1,279 |
$244K |
| 2022 |
1,954 |
$360K |
| 2023 |
1,221 |
$231K |
| 2024 |
2,048 |
$430K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
7,678 |
2,373 |
$1.53M |
| H2014 |
Skills training and development, per 15 minutes |
706 |
259 |
$111K |