FOSTER, ROYLETA
NPI: 1851779755
· EAST ORANGE, NJ 07018
· Community Health Worker
· NPI assigned 05/11/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code H2021 with only 2 total codes billed. Highly concentrated billing profile.
$3.04M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
981 |
$176K |
| 2019 |
1,664 |
$441K |
| 2020 |
1,478 |
$521K |
| 2021 |
1,927 |
$396K |
| 2022 |
1,548 |
$410K |
| 2023 |
1,366 |
$442K |
| 2024 |
1,606 |
$649K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2021 |
Community-based wrap-around services, per 15 minutes |
10,321 |
1,872 |
$2.95M |
| H2015 |
Comprehensive community support services, per 15 minutes |
249 |
67 |
$89K |