Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

PPMD West Berlin 1ST Floor

PPMD West Berlin 1ST Floor was paid $4.33M by Medicaid between Jan 2018 and Dec 2021, across 1 billing code. Its largest line is T1024, Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter — 100% of everything it billed.

33Billing provider infoPPMD WEST BERLIN 1ST FLOOR
WEST BERLIN, NJ 08091
33aNPI1821496712assigned 12/09/2014
28Total paid$4.33M
24GClaims17,648
24DCodes billed1
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers

Next to other Adult Day Care Clinic/Center providers in New Jersey

Rank by total paid#114 of 169
Median peer was paid$8.95M
This provider vs. median0.5×

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 Concentration100% of spending on code T1024 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20184,722$1.41M
20194,296$1.19M
20204,395$1.06M
20214,235$668K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1024 Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter 100% 17,648 1,149 $4.33M

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 officialROMAN-LOZADA, LEEANNA (PRECIDENT / CEO)
Parent organizationPROVIDENCE PEDIATRIC MEDICAL DAYCARE INC.