PPMD WEST BERLIN 1ST FLOOR
NPI: 1821496712
· WEST BERLIN, NJ 08091
· Adult Day Care Clinic/Center
· NPI assigned 12/09/2014
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1024 with only 1 total codes billed. Highly concentrated billing profile.
$4.33M
Total Medicaid Paid
Provider Details
| Authorized Official | ROMAN-LOZADA, LEEANNA (PRECIDENT / CEO) |
| Parent Organization | PROVIDENCE PEDIATRIC MEDICAL DAYCARE INC. |
| NPI Enumeration Date | 12/09/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,722 |
$1.41M |
| 2019 |
4,296 |
$1.19M |
| 2020 |
4,395 |
$1.06M |
| 2021 |
4,235 |
$668K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1024 |
Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter |
17,648 |
1,149 |
$4.33M |