Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Oaks Integrated Care, INC

Clinic/Center, Developmental Disabilities·Lumberton, NJ·NPI: 1578967386Share

Compared to Clinic/Center, Developmental Disabilities Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $137.0M is at the 25th percentile among 8 Clinic/Center, Developmental Disabilities providers.

Active Billing Period:2018-042024-12(81 months)

Total Paid

$137.0M

$136,963,010

Total Claims

379K

Beneficiaries

15K

25.7 claims/patient

Avg Cost/Claim

$361

#818 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Oaks Integrated Care, INC is a Clinic/Center, Developmental Disabilities provider based in Lumberton, NJ. From the 2018–2024 period, this provider received $137.0M in Medicaid payments across 379K claims.

Why This Matters

This provider received $137.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,120 Medicaid beneficiaries for a full year at average per-enrollee costs.

225% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$7.5M
+148%
2019
$18.5M
+5%
2020
$19.5M
+10%
2021
$21.5M
+4%
2022
$22.5M
+3%
2023
$23.1M
+5%
2024
$24.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 3 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 96% of total spending.

H2016Normal range

Comprehensive community support services, per 15 min

$131.8M

340K claims · 96.2%

Your Cost: $387.99/claim|Median: $321.53
1.2× median
T2021Normal range

Day habilitation, waiver; per 15 min

$5.1M

39K claims · 3.7%

Your Cost: $130.84/claim|Median: $150.51
0.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$9K

101 claims · 0.0%

Your Cost: $86.44/claim|Median: $74.63
1.2× median