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

Health Care Benefit Services, LLC

Health Care Benefit Services, LLC was paid $4.80M by Medicaid between Jan 2018 and Aug 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 infoHEALTH CARE BENEFIT SERVICES, LLC
ATLANTIC CITY, NJ 08401
33aNPI1841581626assigned 04/27/2011
28Total paid$4.80M
24GClaims15,833
24DCodes billed1
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers

Next to other Medically Fragile Infants and Children Day Care providers in New Jersey

Rank by total paid#6 of 14
Median peer was paid$2.50M
This provider vs. median1.9×

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$100K$200K2018201920202021202220232024
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
20184,933$1.50M
20195,121$1.55M
20203,713$1.12M
20212,066$624K
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% 15,833 888 $4.80M

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 officialSPERANZA, RICHARD (PARTNER)