WALLACE, WARREN
NPI: 1851543979
· SEWELL, NJ 08080
· Professional Counselor
· NPI assigned 10/21/2008
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code H0036 with only 2 total codes billed. Highly concentrated billing profile.
$1.97M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
480 |
$107K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
9,413 |
2,748 |
$1.93M |
| H2014 |
Skills training and development, per 15 minutes |
489 |
160 |
$42K |