Agency
Northwest Essex Community Healthcare
Northwest Essex Community Healthcare was paid $23.48M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is T1041, Medicaid certified community behavioral health clinic services, per month — 100% of everything it billed.
33Billing provider infoNORTHWEST ESSEX COMMUNITY HEALTHCARE
BELLEVILLE, NJ 07109
BELLEVILLE, NJ 07109
33aNPI1942749429assigned 02/17/2017
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$23.48M
24GClaims104,511
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in New Jersey
Rank by total paid#28 of 446
Median peer was paid$1.09M
This provider vs. median21×
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 | |
|---|---|---|---|
| 2018 | 13,645 | $2.39M | |
| 2019 | 15,407 | $2.76M | |
| 2020 | 15,344 | $3.15M | |
| 2021 | 14,227 | $3.60M | |
| 2022 | 15,522 | $4.01M | |
| 2023 | 16,247 | $4.04M | |
| 2024incomplete | 14,119 | $3.53M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1041 | Medicaid certified community behavioral health clinic services, per month | 100% | 25,902 | 25,898 | $23.48M |
| 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 | <1% | 10,851 | 10,256 | $426.23 |
| 98966 | 0% | 3,895 | 2,226 | $0.00 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 4,425 | 1,824 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 0% | 12,458 | 8,534 | $0.00 |
| 3085F | 0% | 1,813 | 1,813 | $0.00 | |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 0% | 2,702 | 871 | $0.00 |
| 99408 | 0% | 905 | 905 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 1,032 | 977 | $0.00 |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 0% | 2,129 | 2,122 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 323 | 301 | $0.00 |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 0% | 4,178 | 2,411 | $0.00 |
19 more codes
| H0014 | Alcohol and/or drug services; ambulatory detoxification | 0% | 2,159 | $0.00 |
| H0003 | Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs | 0% | 367 | $0.00 |
| H2010 | Comprehensive medication services, per 15 minutes | 0% | 44 | $0.00 |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 0% | 310 | $0.00 |
| 99367 | 0% | 17 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 14 | $0.00 |
| H0007 | Alcohol and/or drug services; crisis intervention (outpatient) | 0% | 128 | $0.00 |
| H0038 | Self-help/peer services, per 15 minutes | 0% | 356 | $0.00 |
| T1012 | Alcohol and/or substance abuse services, skills development | 0% | 453 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 2,180 | $0.00 |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 0% | 12,714 | $0.00 |
| 98967 | 0% | 4,540 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 7,180 | $0.00 |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 0% | 1,813 | $0.00 |
| 96150 | 0% | 173 | $0.00 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 137 | $0.00 |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | 0% | 629 | $0.00 |
| 96151 | 0% | 140 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 544 | $0.00 |
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 officialHAGEMAN, VIONIA (OFFICE MANAGER)