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

Capitol County Children's Collaborative

Exclusive Provider Organization

Hamilton, New Jersey

NPI: 1942350020

Risk Tier

Elevated

Total Paid

$63.1M

$63,083,828

Total Claims

68K

Beneficiaries

67K

Avg Cost/Claim

$934.38

Statistical Fraud Flags (1)

Single-Code

Billing almost exclusively for 1-2 procedure codes despite high total volume.

Bills primarily for code T2023 (2 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