Behavioral
CPC Behavioral Healthcare, INC
CPC Behavioral Healthcare, INC was paid $84K by Medicaid between Dec 2019 and Sep 2021, across 6 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 52% of everything it billed.
33Billing provider infoCPC BEHAVIORAL HEALTHCARE, INC
NEPTUNE CITY, NJ 07753
NEPTUNE CITY, NJ 07753
33aNPI1912562737assigned 05/07/2019
33bProvider typeClinical Social Worker
28Total paid$84K
24GClaims968
24DCodes billed6
24AFirst – last monthDec 2019 – Sep 2021
Compared with peers
Next to other Clinical Social Worker providers in New Jersey
Rank by total paid#62 of 103
Median peer was paid$209K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2019 | 68 | $7K | |
| 2020 | 437 | $33K | |
| 2021 | 463 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 52% | 478 | 286 | $43K |
| 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% | 126 | 115 | $14K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 15% | 115 | 28 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.5% | 154 | 145 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.1% | 55 | 51 | $4K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.3% | 40 | 25 | $3K |
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 officialSANTORA, STELLA (CIO)
| Provider | Location | Paid |
|---|---|---|
| CPC Behavioral Healthcare | Red Bank, NJ | $80.66M |
| CPC Behavioral Heathcare, INC | Howell, NJ | $1.94M |
| CPC Behavioral Healthcare, INC | Neptune City, NJ | $540K |
| CPC Behavioral Healthcare, INC | Howell, NJ | $358K |
| CPC Behavioral Healthcare | Red Bank, NJ | $79K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.