Is CUMBERLAND COUNTY GUIDANCE CENTER flagged for Medicaid fraud?

CUMBERLAND COUNTY GUIDANCE CENTER (NPI: 1447337134) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does CUMBERLAND COUNTY GUIDANCE CENTER bill Medicaid?

CUMBERLAND COUNTY GUIDANCE CENTER received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Mental Health (Including Community Mental Health Center) provider. Located in MILLVILLE, NJ.

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CUMBERLAND COUNTY GUIDANCE CENTER

Clinic/Center, Mental Health (Including Community Mental Health Center)·MILLVILLE, NJ·NPI: 1447337134Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.1M is at the 50th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$21.1M

$21,141,762

Total Claims

223K

Beneficiaries

101K

2.2 claims/patient

Avg Cost/Claim

$95

Monthly Spending Trend

Yearly Spending

2018

$3.8M

-3%

2019

$3.7M

-24%

2020

$2.8M

-11%

2021

$2.5M

+13%

2022

$2.8M

+3%

2023

$2.9M

-7%

2024

$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H0035 (Mental health partial hospitalization, treatment, per hour)) accounts for 21% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H0035Mental health partial hospitalization, treatment, per hourSee all providers →

$4.4M

51K claims

$85.55

$148.53

0.6×

Normal range

H0035Normal range

Mental health partial hospitalization, treatment, per hour

$4.4M

51K claims · 20.7%

Your Cost: $85.55/claim|Median: $148.53

0.6× median

S9480Intensive outpatient psychiatric services, per diemSee all providers →

$3.4M

4,116 claims

$820.80

$135.70

6.0×

Top 5%

S9480Top 5%

Intensive outpatient psychiatric services, per diem

$3.4M

4,116 claims · 16.0%

Your Cost: $820.80/claim|Median: $135.70

6.0× median

T1017Targeted case management, per 15 minSee all providers →

$3.3M

16K claims

$205.62

$69.56

3.0×

Top 25%

T1017Top 25%

Targeted case management, per 15 min

$3.3M

16K claims · 15.5%

Your Cost: $205.62/claim|Median: $69.56

3.0× median

T2034Crisis intervention, per 15 minSee all providers →

$2.8M

3,223 claims

$862.19

$254.45

3.4×

Top 10%

T2034Top 10%

Crisis intervention, per 15 min

$2.8M

3,223 claims · 13.1%

Your Cost: $862.19/claim|Median: $254.45

3.4× median

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

$1.7M

19K claims

$86.54

$53.41

1.6×

Top 25%

99214Top 25%

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

$1.7M

19K claims · 7.9%

Your Cost: $86.54/claim|Median: $53.41

1.6× median

90834Psychotherapy, 45 minutesSee all providers →

$1.5M

16K claims

$92.23

$63.65

1.4×

Top 25%

90834Top 25%

Psychotherapy, 45 minutes

$1.5M

16K claims · 6.9%

Your Cost: $92.23/claim|Median: $63.65

1.4× median

90833Psychotherapy, 30 min, add-on to E/M serviceSee all providers →

$1.1M

20K claims

$55.06

$38.83

1.4×

Top 25%

90833Top 25%

Psychotherapy, 30 min, add-on to E/M service

$1.1M

20K claims · 5.2%

Your Cost: $55.06/claim|Median: $38.83

1.4× median

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

$1.0M

19K claims

$55.84

$37.81

1.5×

Top 25%

99213Top 25%

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

$1.0M

19K claims · 4.9%

Your Cost: $55.84/claim|Median: $37.81

1.5× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

$893K

2,468 claims

$361.64

$108.91

3.3×

Top 5%

90792Top 5%

Psychiatric diagnostic evaluation with medical services

$893K

2,468 claims · 4.2%

Your Cost: $361.64/claim|Median: $108.91

3.3× median

90791Psychiatric diagnostic evaluationSee all providers →

$375K

2,516 claims

$148.97

$99.21

1.5×

Top 25%

90791Top 25%

Psychiatric diagnostic evaluation

$375K

2,516 claims · 1.8%

Your Cost: $148.97/claim|Median: $99.21

1.5× median

90832Psychotherapy, 30 minutesSee all providers →

$298K

4,434 claims

$67.26

$41.28

1.6×

Top 25%

90832Top 25%

Psychotherapy, 30 minutes

$298K

4,434 claims · 1.4%

Your Cost: $67.26/claim|Median: $41.28

1.6× median

A0090Non-emergency transport, per mileSee all providers →

$277K

32K claims

$8.68

$10.45

0.8×

Normal range

A0090Normal range

Non-emergency transport, per mile

$277K

32K claims · 1.3%

Your Cost: $8.68/claim|Median: $10.45

0.8× median

A0425Ground mileage, per statute mileSee all providers →

$151K

32K claims

$4.74

$23.36

0.2×

Normal range

A0425Normal range

Ground mileage, per statute mile

$151K

32K claims · 0.7%

Your Cost: $4.74/claim|Median: $23.36

0.2× median

S9484Crisis intervention mental health services, per hourSee all providers →

$62K

198 claims

$312.18

$249.51

1.3×

Normal range

S9484Normal range

Crisis intervention mental health services, per hour

$62K

198 claims · 0.3%

Your Cost: $312.18/claim|Median: $249.51

1.3× median

96372Therapeutic injection, subcutaneous/intramuscularSee all providers →

$3K

637 claims

$5.15

$9.56

0.5×

Normal range

96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$3K

637 claims · 0.0%

Your Cost: $5.15/claim|Median: $9.56

0.5× median

99442Telephone E/M by physician, 11-20 minutesSee all providers →

$3K

446 claims

$6.75

$22.44

0.3×

Normal range

99442Normal range

Telephone E/M by physician, 11-20 minutes

$3K

446 claims · 0.0%

Your Cost: $6.75/claim|Median: $22.44

0.3× median

99215Office/outpatient visit, high complexitySee all providers →

$2K

12 claims

$133.44

$74.09

1.8×

Top 25%

99215Top 25%

Office/outpatient visit, high complexity

$2K

12 claims · 0.0%

Your Cost: $133.44/claim|Median: $74.09

1.8× median

90837Psychotherapy, 60 minutesSee all providers →

$871

92 claims

$9.47

$85.66

0.1×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$871

92 claims · 0.0%

Your Cost: $9.47/claim|Median: $85.66

0.1× median

99443Telephone E/M by physician, 21-30 minSee all providers →

$398

452 claims

$0.88

$32.55

0.0×

Normal range

99443Normal range

Telephone E/M by physician, 21-30 min

$398

452 claims · 0.0%

Your Cost: $0.88/claim|Median: $32.55

0.0× median

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Similar Providers

Other top providers in Clinic/Center, Mental Health (Including Community Mental Health Center)

Los Angeles County Department of Mental Health

Los Angeles, CA

$6.78B

County of Sonoma

Santa Rosa, CA

$195.1M

County of Washtenaw

Ypsilanti, MI

$153.3M

County of Muskegon

Muskegon, MI

$151.1M

Fraser Child and Family Center

Minneapolis, MN

$149.8M

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