EASTER SEALS NEW JERSEY
NPI: 1861515017
· IRVINGTON, NJ 07111
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 04/10/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code H0019 with only 2 total codes billed. Highly concentrated billing profile.
$17.76M
Total Medicaid Paid
Provider Details
| Authorized Official | HART, ALEISHA (COO) |
| NPI Enumeration Date | 04/10/2007 |
Related Entities
Other providers sharing the same authorized official: HART, ALEISHA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,499 |
$2.24M |
| 2019 |
7,491 |
$2.45M |
| 2020 |
10,557 |
$2.59M |
| 2021 |
11,648 |
$2.53M |
| 2022 |
12,195 |
$2.87M |
| 2023 |
10,083 |
$2.46M |
| 2024 |
10,036 |
$2.61M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
68,504 |
2,397 |
$17.25M |
| H2018 |
Psychosocial rehabilitation services, per diem |
2,005 |
74 |
$503K |