Hospital
Prime Healthcare Services - Saint Clare's LLC
Prime Healthcare Services - Saint Clare's LLC was paid $3.75M by Medicaid between Apr 2022 and Dec 2024, across 15 billing codes. Its largest line is H0035, Mental health partial hospitalization, treatment, less than 24 hours — 27% of everything it billed.
33Billing provider infoPRIME HEALTHCARE SERVICES - SAINT CLARE'S LLC
BOONTON TOWNSHIP, NJ 07005
BOONTON TOWNSHIP, NJ 07005
33aNPI1902286172assigned 06/03/2015
33bProvider typePsychiatric Hospital Unit
28Total paid$3.75M
24GClaims37,164
24DCodes billed15
24AFirst – last monthApr 2022 – Dec 2024
Compared with peers
Next to other Psychiatric Hospital Unit providers in New Jersey
Rank by total paid#5 of 12
Median peer was paid$1.26M
This provider vs. median3.0×
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.
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 | |
|---|---|---|---|
| 2022 | 2,464 | $249K | |
| 2023 | 10,421 | $988K | |
| 2024incomplete | 24,279 | $2.51M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 27% | 5,212 | 587 | $996K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 20% | 6,704 | 4,034 | $754K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 16% | 7,518 | 6,122 | $582K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 12% | 2,889 | 2,609 | $453K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 8.0% | 2,508 | 1,621 | $299K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 2,031 | 1,910 | $160K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 4.1% | 1,053 | 958 | $153K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.5% | 2,288 | 1,692 | $130K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 2.0% | 3,615 | 2,086 | $73K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.7% | 739 | 658 | $62K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 1,282 | 969 | $46K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,060 | 288 | $27K |
3 more codes
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.
From NPPES
Who's on the registration
Authorized officialHEATHER, MICHAEL (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Prime Healthcare Services - Saint Clare's LLC | Denville, NJ | $90.22M |
| Prime Healthcare Services - Saint Clare's LLC | Denville, NJ | $4.71M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.