Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRIME HEALTHCARE SERVICES - SAINT CLARE'S LLC

NPI: 1902286172 · BOONTON TOWNSHIP, NJ 07005 · Psychiatric Hospital Unit · NPI assigned 06/03/2015

$3.75M
Total Medicaid Paid
37,164
Total Claims
23,687
Beneficiaries
15
Codes Billed
2022-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHEATHER, MICHAEL (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date06/03/2015

Related Entities

Other providers sharing the same authorized official: HEATHER, MICHAEL

ProviderCityStateTotal Paid
PRIME HEALTHCARE SERVICES - SAINT CLARE'S LLC DENVILLE NJ $90.22M
PRIME HEALTHCARE SERVICES - SAINT CLARE'S LLC DENVILLE NJ $4.71M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 2,464 $249K
2023 10,421 $988K
2024 24,279 $2.51M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0035 Mental health partial hospitalization, treatment, less than 24 hours 5,212 587 $996K
90834 Psychotherapy, 45 minutes with patient 6,704 4,034 $754K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,518 6,122 $582K
90791 Psychiatric diagnostic evaluation 2,889 2,609 $453K
90837 Psychotherapy, 53 minutes with patient 2,508 1,621 $299K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,031 1,910 $160K
90792 Psychiatric diagnostic evaluation with medical services 1,053 958 $153K
90832 Psychotherapy, 30 minutes with patient 2,288 1,692 $130K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 3,615 2,086 $73K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 739 658 $62K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,282 969 $46K
90853 Group psychotherapy (other than of a multiple-family group) 1,060 288 $27K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 122 77 $8K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 95 38 $5K
90847 Family psychotherapy with the patient present, 50 minutes 48 38 $3K