Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SERV ACHIEVEMENT CENTERS INC

NPI: 1992867527 · ROBBINSVILLE, NJ 08691 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 12/13/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

92% of spending on code H2016 with only 3 total codes billed. Highly concentrated billing profile.

$103.46M
Total Medicaid Paid
292,699
Total Claims
12,406
Beneficiaries
3
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMMS, PAULINE (CHIEF OPERATING OFFICER)
NPI Enumeration Date12/13/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 32,399 $8.75M
2019 56,897 $16.90M
2020 45,750 $15.94M
2021 26,331 $8.98M
2022 43,556 $16.69M
2023 44,687 $18.03M
2024 43,079 $18.18M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2016 Comprehensive community support services, per diem 229,757 7,954 $95.14M
T2021 Day habilitation, waiver; per 15 minutes 61,272 3,863 $8.26M
H0004 Behavioral health counseling and therapy, per 15 minutes 1,670 589 $66K