National Mentor Healthcare, LLC

National Mentor Healthcare, LLC was paid $3.55M by Medicaid between Jan 2018 and Apr 2019, across 1 billing code. 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 — 100% of everything it billed.

33Billing provider infoNATIONAL MENTOR HEALTHCARE, LLC
SOMERSET, NJ 08873

33aNPI1932368016assigned 06/04/2008

33bProvider typeIntellectual and/or Developmental Disabilities Residential Treatment Facility

28Total paid$3.55M

24GClaims16,850

24DCodes billed1

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other Intellectual and/or Developmental Disabilities Residential Treatment Facility providers in New Jersey

Rank by total paid#5 of 11

Median peer was paid$3.30M

This provider vs. median1.1×

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 Concentration100% of spending on code H0019 with only 1 total codes billed. Highly concentrated billing profile.

Entity ProliferationAuthorized official COHEN, BRETT controls 17+ related entities in our dataset. Read more

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
2018	12,444	$2.62M
2019	4,406	$929K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	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	100%	16,850	616	$3.55M

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 officialCOHEN, BRETT (COO)

Same official

Other billing entities under COHEN, BRETT

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.