Medicaid Provider Spending

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

CPC BEHAVIORAL HEALTHCARE

NPI: 1821537093 · RED BANK, NJ 07701 · Community/Behavioral Health Agency · NPI assigned 02/21/2017

$80.66M
Total Medicaid Paid
569,011
Total Claims
403,548
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSANTORA, STELLA (CIO)
NPI Enumeration Date02/21/2017

Related Entities

Other providers sharing the same authorized official: SANTORA, STELLA

ProviderCityStateTotal Paid
CPC BEHAVIORAL HEATHCARE, INC HOWELL NJ $1.94M
CPC BEHAVIORAL HEALTHCARE, INC NEPTUNE CITY NJ $540K
CPC BEHAVIORAL HEALTHCARE, INC HOWELL NJ $358K
CPC BEHAVIORAL HEALTHCARE, INC NEPTUNE CITY NJ $84K
CPC BEHAVIORAL HEALTHCARE RED BANK NJ $79K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 89,561 $9.69M
2019 70,684 $9.29M
2020 73,575 $10.87M
2021 85,075 $12.34M
2022 86,034 $12.86M
2023 87,695 $13.30M
2024 76,387 $12.30M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1041 Medicaid certified community behavioral health clinic services, per month 111,941 111,941 $80.66M
96156 2,887 2,755 $0.00
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit 4,289 3,837 $0.00
H0035 Mental health partial hospitalization, treatment, less than 24 hours 30,955 4,360 $0.00
H0001 Alcohol and/or drug assessment 181 179 $0.00
96127 5,632 5,422 $0.00
T1012 Alcohol and/or substance abuse services, skills development 5,943 1,156 $0.00
90792 Psychiatric diagnostic evaluation with medical services 4,712 4,707 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29,387 28,381 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 32,823 30,985 $0.00
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 4,322 4,125 $0.00
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 7,439 7,097 $0.00
90834 Psychotherapy, 45 minutes with patient 68,764 42,153 $0.00
H0030 Behavioral health hotline service 901 389 $0.00
99441 6,319 3,399 $0.00
99368 15 15 $0.00
H2000 Comprehensive multidisciplinary evaluation 7,748 2,454 $0.00
90847 Family psychotherapy with the patient present, 50 minutes 955 773 $0.00
96150 43 43 $0.00
98967 1,591 1,126 $0.00
99406 55 42 $0.00
90853 Group psychotherapy (other than of a multiple-family group) 7,346 2,724 $0.00
H2023 Supported employment, per 15 minutes 5,680 1,639 $0.00
99215 Prolong outpt/office vis 2,252 2,206 $0.00
3085F 7,666 7,242 $0.00
98966 80,227 46,186 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,024 3,937 $0.00
H0032 Mental health service plan development by non-physician 20,733 19,786 $0.00
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 19,239 3,610 $0.00
H0003 Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs 11,277 8,010 $0.00
T1017 Targeted case management, each 15 minutes 72,691 42,821 $0.00
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 909 841 $0.00
90791 Psychiatric diagnostic evaluation 5,313 5,291 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,167 1,130 $0.00
G0176 Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) 172 85 $0.00
99408 62 60 $0.00
H0031 Mental health assessment, by non-physician 1,327 1,306 $0.00
H2011 Crisis intervention service, per 15 minutes 194 136 $0.00
H0005 Alcohol and/or drug services; group counseling by a clinician 727 256 $0.00
H0006 Alcohol and/or drug services; case management 983 839 $0.00
98968 108 92 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $0.00