Agency
CPC Behavioral Healthcare
CPC Behavioral Healthcare was paid $80.66M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is T1041, Medicaid certified community behavioral health clinic services, per month — 100% of everything it billed.
33Billing provider infoCPC BEHAVIORAL HEALTHCARE
RED BANK, NJ 07701
RED BANK, NJ 07701
33aNPI1821537093assigned 02/21/2017
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$80.66M
24GClaims569,011
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in New Jersey
Rank by total paid#4 of 446
Median peer was paid$1.09M
This provider vs. median74×
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.
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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 76,387 | $12.30M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1041 | Medicaid certified community behavioral health clinic services, per month | 100% | 111,941 | 111,941 | $80.66M |
| 96156 | 0% | 2,887 | 2,755 | $0.00 | |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | 0% | 4,289 | 3,837 | $0.00 |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 0% | 30,955 | 4,360 | $0.00 |
| H0001 | Alcohol and/or drug assessment | 0% | 181 | 179 | $0.00 |
| 96127 | 0% | 5,632 | 5,422 | $0.00 | |
| T1012 | Alcohol and/or substance abuse services, skills development | 0% | 5,943 | 1,156 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 4,712 | 4,707 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 29,387 | 28,381 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 0% | 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 | 0% | 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 | 0% | 7,439 | 7,097 | $0.00 |
30 more codes
| 90834 | Psychotherapy session, about 45 minutes | 0% | 68,764 | $0.00 |
| H0030 | Behavioral health hotline service | 0% | 901 | $0.00 |
| 99441 | 0% | 6,319 | $0.00 | |
| 99368 | 0% | 15 | $0.00 | |
| H2000 | Comprehensive multidisciplinary evaluation | 0% | 7,748 | $0.00 |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 955 | $0.00 |
| 96150 | 0% | 43 | $0.00 | |
| 98967 | 0% | 1,591 | $0.00 | |
| 99406 | 0% | 55 | $0.00 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 7,346 | $0.00 |
| H2023 | Supported employment, per 15 minutes | 0% | 5,680 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 2,252 | $0.00 |
| 3085F | 0% | 7,666 | $0.00 | |
| 98966 | 0% | 80,227 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 4,024 | $0.00 |
| H0032 | Mental health service plan development by non-physician | 0% | 20,733 | $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 | 0% | 19,239 | $0.00 |
| H0003 | Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs | 0% | 11,277 | $0.00 |
| T1017 | Case management, billed per 15 minutes | 0% | 72,691 | $0.00 |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 0% | 909 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 5,313 | $0.00 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 1,167 | $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) | 0% | 172 | $0.00 |
| 99408 | 0% | 62 | $0.00 | |
| H0031 | Mental health assessment, by non-physician | 0% | 1,327 | $0.00 |
| H2011 | Crisis intervention service, per 15 minutes | 0% | 194 | $0.00 |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 0% | 727 | $0.00 |
| H0006 | Alcohol and/or drug services; case management | 0% | 983 | $0.00 |
| 98968 | 0% | 108 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 12 | $0.00 |
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 officialSANTORA, STELLA (CIO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.