Is RUTGERS-UNIVERSITY BEHAVIORAL HEALTH CARE flagged for Medicaid fraud?

RUTGERS-UNIVERSITY BEHAVIORAL HEALTH CARE (NPI: 1306994181) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does RUTGERS-UNIVERSITY BEHAVIORAL HEALTH CARE bill Medicaid?

RUTGERS-UNIVERSITY BEHAVIORAL HEALTH CARE received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in PISCATAWAY, NJ.

What is NPI 1306994181?

NPI 1306994181 is the National Provider Identifier for RUTGERS-UNIVERSITY BEHAVIORAL HEALTH CARE. They are a Community/Behavioral Health provider based in PISCATAWAY, NJ. This NPI is registered with the CMS NPI Registry.

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RUTGERS-UNIVERSITY BEHAVIORAL HEALTH CARE

Community/Behavioral Health·PISCATAWAY, NJ·NPI: 1306994181Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $60.2M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$60.2M

$60,186,155

Total Claims

290K

Beneficiaries

260K

1.1 claims/patient

Avg Cost/Claim

$208

Monthly Spending Trend

Yearly Spending

2018

$6.3M

+27%

2019

$8.0M

+15%

2020

$9.2M

+3%

2021

$9.5M

-12%

2022

$8.4M

+29%

2023

$10.9M

-28%

2024

$7.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (T1041 (Medicaid CCBHC services, per diem)) accounts for 100% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1041Medicaid CCBHC services, per diemSee all providers →

$60.2M

95K claims

$633.97

$913.47

0.7×

Normal range

T1041Normal range

Medicaid CCBHC services, per diem

$60.2M

95K claims · 100.0%

Your Cost: $633.97/claim|Median: $913.47

0.7× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

$37

6,770 claims

$0.01

$108.91

0.0×

Normal range

90792Normal range

Psychiatric diagnostic evaluation with medical services

$37

6,770 claims · 0.0%

Your Cost: $0.01/claim|Median: $108.91

0.0× median

90832Psychotherapy, 30 minutesSee all providers →

$10

48K claims

$0.00

$41.28

0.0×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$10

48K claims · 0.0%

Your Cost: $0.00/claim|Median: $41.28

0.0× median

96127Brief emotional/behavioral assessment, per standardized instrumentSee all providers →

13K claims

$0.00

$3.67

—

Normal range

96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

13K claims · 0.0%

Your Cost: $0.00/claim|Median: $3.67

99212Office/outpatient visit, low complexitySee all providers →

2,076 claims

$0.00

$25.06

—

Normal range

99212Normal range

Office/outpatient visit, low complexity

2,076 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.06

90834Psychotherapy, 45 minutesSee all providers →

33 claims

$0.00

$63.65

—

Normal range

90834Normal range

Psychotherapy, 45 minutes

33 claims · 0.0%

Your Cost: $0.00/claim|Median: $63.65

99406 See all providers →

5,317 claims

$0.00

$6.53

—

Normal range

99406Normal range

5,317 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.53

90837Psychotherapy, 60 minutesSee all providers →

6,799 claims

$0.00

$85.66

—

Normal range

90837Normal range

Psychotherapy, 60 minutes

6,799 claims · 0.0%

Your Cost: $0.00/claim|Median: $85.66

90846Family psychotherapy without patient, 50 minSee all providers →

30 claims

$0.00

$76.61

—

Normal range

90846Normal range

Family psychotherapy without patient, 50 min

30 claims · 0.0%

Your Cost: $0.00/claim|Median: $76.61

H2023Supported employment, per 15 minSee all providers →

15 claims

$0.00

$103.94

—

Normal range

H2023Normal range

Supported employment, per 15 min

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $103.94

T1017Targeted case management, per 15 minSee all providers →

18K claims

$0.00

$69.56

—

Normal range

T1017Normal range

Targeted case management, per 15 min

18K claims · 0.0%

Your Cost: $0.00/claim|Median: $69.56

T2034Crisis intervention, per 15 minSee all providers →

16 claims

$0.00

$254.45

—

Normal range

T2034Normal range

Crisis intervention, per 15 min

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $254.45

99215Office/outpatient visit, high complexitySee all providers →

2,045 claims

$0.00

$74.09

—

Normal range

99215Normal range

Office/outpatient visit, high complexity

2,045 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.09

90853Group psychotherapySee all providers →

19K claims

$0.00

$25.02

—

Normal range

90853Normal range

Group psychotherapy

19K claims · 0.0%

Your Cost: $0.00/claim|Median: $25.02

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

15K claims

$0.00

$37.81

—

Normal range

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

15K claims · 0.0%

Your Cost: $0.00/claim|Median: $37.81

H0014 See all providers →

46 claims

$0.00

$137.81

—

Normal range

H0014Normal range

46 claims · 0.0%

Your Cost: $0.00/claim|Median: $137.81

90791Psychiatric diagnostic evaluationSee all providers →

3,997 claims

$0.00

$99.21

—

Normal range

90791Normal range

Psychiatric diagnostic evaluation

3,997 claims · 0.0%

Your Cost: $0.00/claim|Median: $99.21

H0050 See all providers →

11K claims

$0.00

$46.71

—

Normal range

H0050Normal range

11K claims · 0.0%

Your Cost: $0.00/claim|Median: $46.71

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

39K claims

$0.00

$53.41

—

Normal range

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

39K claims · 0.0%

Your Cost: $0.00/claim|Median: $53.41

90847Family psychotherapy with patient, 50 minSee all providers →

3,302 claims

$0.00

$77.33

—

Normal range

90847Normal range

Family psychotherapy with patient, 50 min

3,302 claims · 0.0%

Your Cost: $0.00/claim|Median: $77.33

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