Wallace, Warren

Wallace, Warren was paid $1.97M by Medicaid between Jan 2018 and Aug 2024, across 2 billing codes. Its largest line is H0036, community psychiatric support and treatment, per 15 minutes — 98% of everything it billed.

33Billing provider infoWALLACE, WARREN
SEWELL, NJ 08080

33aNPI1851543979assigned 10/21/2008

33bProvider typeProfessional Counselor

28Total paid$1.97M

24GClaims9,902

24DCodes billed2

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Professional Counselor providers in New Jersey

Rank by total paid#11 of 62

Median peer was paid$444K

This provider vs. median4.4×

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 Concentration98% of spending on code H0036 with only 2 total codes billed. Highly concentrated billing profile.

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	2,606	$443K
2019	1,411	$279K
2020	1,919	$329K
2021	1,277	$303K
2022	1,052	$243K
2023	1,157	$268K
2024incomplete	480	$107K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0036	Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes	98%	9,413	2,748	$1.93M
H2014	Skills training and development, per 15 minutes	2.1%	489	160	$42K

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.