Mercedes & Family

Mercedes & Family was paid $1.64M by Medicaid between May 2019 and Dec 2024, across 2 billing codes. Its largest line is H0036, community psychiatric support and treatment, per 15 minutes — 93% of everything it billed.

33Billing provider infoMERCEDES & FAMILY
GARFIELD, NJ 07026

33aNPI1811452642assigned 02/06/2019

33bProvider typeMental Health Counselor

28Total paid$1.64M

24GClaims8,384

24DCodes billed2

24AFirst – last monthMay 2019 – Dec 2024

Compared with peers

Next to other Mental Health Counselor providers in New Jersey

Rank by total paid#22 of 84

Median peer was paid$669K

This provider vs. median2.5×

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 Concentration93% of spending on code H0036 with only 2 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
2019	555	$118K
2020	1,327	$258K
2021	1,279	$244K
2022	1,954	$360K
2023	1,221	$231K
2024incomplete	2,048	$430K

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	93%	7,678	2,373	$1.53M
H2014	Skills training and development, per 15 minutes	6.8%	706	259	$111K

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 officialMERCEDES, BILLY (PROVIDER)