Cuervo Bautista, Mauricio

Cuervo Bautista, Mauricio was paid $1.80M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is H0036, community psychiatric support and treatment, per 15 minutes — 97% of everything it billed.

33Billing provider infoCUERVO BAUTISTA, MAURICIO
ELIZABETH, NJ 07201

33aNPI1982068730assigned 04/07/2016

33bProvider typeClinical Social Worker

28Total paid$1.80M

24GClaims8,241

24DCodes billed2

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Clinical Social Worker providers in New Jersey

Rank by total paid#20 of 103

Median peer was paid$209K

This provider vs. median8.6×

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 H0036 with only 2 total codes billed. Highly concentrated billing profile.

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	2,030	$363K
2019	1,435	$293K
2020	1,013	$223K
2021	1,050	$255K
2022	1,167	$281K
2023	686	$169K
2024incomplete	860	$220K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0036	Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes	97%	7,598	2,168	$1.75M
H2014	Skills training and development, per 15 minutes	3.0%	643	174	$54K

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.