CUERVO BAUTISTA, MAURICIO
NPI: 1982068730
· ELIZABETH, NJ 07201
· Clinical Social Worker
· NPI assigned 04/07/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code H0036 with only 2 total codes billed. Highly concentrated billing profile.
$1.80M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,030 |
$363K |
| 2019 |
1,435 |
$293K |
| 2020 |
1,013 |
$223K |
| 2021 |
1,050 |
$255K |
| 2022 |
1,167 |
$281K |
| 2023 |
686 |
$169K |
| 2024 |
860 |
$220K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
7,598 |
2,168 |
$1.75M |
| H2014 |
Skills training and development, per 15 minutes |
643 |
174 |
$54K |