Bridgeway Behavioral Health Services
Case Management
Elizabeth, New Jersey
NPI: 1184748535
Risk Tier
High
Total Paid
$62.4M
$62,417,452
Total Claims
41K
Beneficiaries
41K
Avg Cost/Claim
$1,537.53
Statistical Fraud Flags (2)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $1,537.53 per claim for H0040 (Assertive community treatment, face-to-face, per 15 minutes), which is 5.8× the national median of $266.41.
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code H0040 (1 unique codes).
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024