Is OAKS INTEGRATED CARE flagged for Medicaid fraud?

OAKS INTEGRATED CARE (NPI: 1528590205) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does OAKS INTEGRATED CARE bill Medicaid?

OAKS INTEGRATED CARE received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in TRENTON, NJ.

What is NPI 1528590205?

NPI 1528590205 is the National Provider Identifier for OAKS INTEGRATED CARE. They are a Community/Behavioral Health provider based in TRENTON, NJ. This NPI is registered with the CMS NPI Registry.

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OAKS INTEGRATED CARE

Community/Behavioral Health·TRENTON, NJ·NPI: 1528590205Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.1M is at the 25th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$23.1M

$23,111,134

Total Claims

116K

Beneficiaries

75K

1.6 claims/patient

Avg Cost/Claim

$199

Monthly Spending Trend

Yearly Spending

2018

$2.8M

+2%

2019

$2.8M

-4%

2020

$2.7M

+13%

2021

$3.1M

-12%

2022

$2.7M

+70%

2023

$4.6M

-4%

2024

$4.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 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 →

$23.1M

24K claims

$944.51

$913.47

1.0×

Normal range

T1041Normal range

Medicaid CCBHC services, per diem

$23.1M

24K claims · 100.0%

Your Cost: $944.51/claim|Median: $913.47

1.0× median

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

1,457 claims

$0.00

$37.81

—

Normal range

99213Normal range

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

1,457 claims · 0.0%

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

99211Office/outpatient visit, minimal complexitySee all providers →

14 claims

$0.00

$12.93

—

Normal range

99211Normal range

Office/outpatient visit, minimal complexity

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.93

H0048 See all providers →

21 claims

$0.00

$13.25

—

Normal range

H0048Normal range

21 claims · 0.0%

Your Cost: $0.00/claim|Median: $13.25

90837Psychotherapy, 60 minutesSee all providers →

184 claims

$0.00

$85.66

—

Normal range

90837Normal range

Psychotherapy, 60 minutes

184 claims · 0.0%

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

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

3,248 claims

$0.00

$3.67

—

Normal range

96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

3,248 claims · 0.0%

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

90834Psychotherapy, 45 minutesSee all providers →

30K claims

$0.00

$63.65

—

Normal range

90834Normal range

Psychotherapy, 45 minutes

30K claims · 0.0%

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

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

15K claims

$0.00

$148.53

—

Normal range

H0035Normal range

Mental health partial hospitalization, treatment, per hour

15K claims · 0.0%

Your Cost: $0.00/claim|Median: $148.53

99212Office/outpatient visit, low complexitySee all providers →

4,828 claims

$0.00

$25.06

—

Normal range

99212Normal range

Office/outpatient visit, low complexity

4,828 claims · 0.0%

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

90853Group psychotherapySee all providers →

4,369 claims

$0.00

$25.02

—

Normal range

90853Normal range

Group psychotherapy

4,369 claims · 0.0%

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

99408 See all providers →

1,147 claims

$0.00

$9.32

—

Normal range

99408Normal range

1,147 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.32

99406 See all providers →

493 claims

$0.00

$6.53

—

Normal range

99406Normal range

493 claims · 0.0%

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

H0003 See all providers →

1,199 claims

$0.00

$13.38

—

Normal range

H0003Normal range

1,199 claims · 0.0%

Your Cost: $0.00/claim|Median: $13.38

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

1,566 claims

$0.00

$108.91

—

Normal range

90792Normal range

Psychiatric diagnostic evaluation with medical services

1,566 claims · 0.0%

Your Cost: $0.00/claim|Median: $108.91

90847Family psychotherapy with patient, 50 minSee all providers →

394 claims

$0.00

$77.33

—

Normal range

90847Normal range

Family psychotherapy with patient, 50 min

394 claims · 0.0%

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

H0032Mental health service plan developmentSee all providers →

145 claims

$0.00

$80.64

—

Normal range

H0032Normal range

Mental health service plan development

145 claims · 0.0%

Your Cost: $0.00/claim|Median: $80.64

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

4,976 claims

$0.00

$53.41

—

Normal range

99214Normal range

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

4,976 claims · 0.0%

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

90791Psychiatric diagnostic evaluationSee all providers →

879 claims

$0.00

$99.21

—

Normal range

90791Normal range

Psychiatric diagnostic evaluation

879 claims · 0.0%

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

3085F See all providers →

6,303 claims

$0.00

$0.85

—

Normal range

3085FNormal range

6,303 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.85

96151Health behavior reassessmentSee all providers →

71 claims

$0.00

$15.43

—

Normal range

96151Normal range

Health behavior reassessment

71 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.43

H0038Self-help/peer services, per 15 minutesSee all providers →

202 claims

$0.00

$55.04

—

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

202 claims · 0.0%

Your Cost: $0.00/claim|Median: $55.04

90832Psychotherapy, 30 minutesSee all providers →

2,803 claims

$0.00

$41.28

—

Normal range

90832Normal range

Psychotherapy, 30 minutes

2,803 claims · 0.0%

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

T1017Targeted case management, per 15 minSee all providers →

13K claims

$0.00

$69.56

—

Normal range

T1017Normal range

Targeted case management, per 15 min

13K claims · 0.0%

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

H0001Alcohol and/or drug assessmentSee all providers →

17 claims

$0.00

$94.22

—

Normal range

H0001Normal range

Alcohol and/or drug assessment

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $94.22

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