Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

West Bergen Mentalhealthcare, INC

West Bergen Mentalhealthcare, INC was paid $20.87M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is 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 — 97% of everything it billed.

33Billing provider infoWEST BERGEN MENTALHEALTHCARE, INC
RIDGEWOOD, NJ 07450
33aNPI1912955196assigned 05/04/2006
33bProvider typeMental Health Counselor
28Total paid$20.87M
24GClaims30,439
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Mental Health Counselor providers in New Jersey

Rank by total paid#1 of 84
Median peer was paid$669K
This provider vs. median31×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration97% of spending on code H0019 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
20184,197$2.86M
20194,020$2.95M
20204,631$2.96M
20215,066$3.06M
20224,484$3.04M
20234,282$3.20M
2024incomplete3,759$2.79M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 97% 29,442 3,596 $20.30M
H2018 Psychosocial rehabilitation services, per diem 2.7% 997 139 $561K

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 officialTOZZOLI, MICHAEL (CEO)