Providers
GERALD TRAMONTANO, PHD
NPI 1962550228, individual, Mt Arlington, NJ, Clinical Neuropsychologist
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 6 months, but with up to 557 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 90834 ($318 per patient-month) sit in the top 5% of every provider billing that code.
score 55 of 100, rank 7815, $1.1M at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2024 | More hours than a day holds at a conservative unit price | 28.1 | 43.9 | 29.3 | 33.9 | 458 | 1 | 90791 90834 90837 96112 96130 96131 96132 96138 96139 96158 96159 96170 | $66K |
| Mar 2024 | More hours than a day holds at a conservative unit price | 26.8 | 42.1 | 28.1 | 35.6 | 442 | 1 | 90791 90834 90837 96112 96130 96131 96132 96138 96139 96158 96159 | $62K |
| Apr 2024 | More hours than a day holds at a conservative unit price | 28.4 | 45.6 | 30.4 | 35.8 | 495 | 1 | 90791 90834 90837 96112 96130 96131 96132 96138 96139 96158 96159 96170 | $63K |
| Aug 2024 | More hours than a day holds, even counting one unit per claim line | 28.7 | 38.9 | 26.0 | 32.8 | 504 | 1 | 90791 90834 90837 96112 96130 96131 96132 96136 96137 96138 96139 96158 96159 | $65K |
| Oct 2024 | More hours than a day holds at a conservative unit price | 27.9 | 41.7 | 27.8 | 33.2 | 472 | 1 | 90791 90834 90837 96112 96130 96131 96132 96136 96137 96138 96139 96158 96159 96170 | $70K |
| Nov 2024 | More hours than a day holds, even counting one unit per claim line | 30.9 | 44.8 | 29.9 | 38.1 | 531 | 1 | 90791 90834 90837 96112 96130 96131 96132 96136 96137 96138 96139 96158 96159 | $69K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | GERALD TRAMONTANO, PHD |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | January 5, 2007, last updated May 19, 2008 |
| Practice location | 200 VALLEY RD, SUITE 301, Mt Arlington, NJ 07856-1320, 973-601-0100 |
| Specialties | Clinical Neuropsychologist (103G00000X, primary, license 3338 NJ) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | $555K | 20% | $318 | $101 (top 5% from $318) | 95th percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $501K | 18% | $248 | $191 (top 5% from $442) | 72nd percentile | |
| 96116 | Exam of neurobehavioral status, first hour | $290K | 10% | $84 | $59 (top 5% from $351) | 66th percentile | |
| 96132 | Evaluation of neuropsychological test, first hour | $281K | 10% | $115 | $92 (top 5% from $247) | 72nd percentile | |
| 90791 | Psychiatric diagnostic evaluation | $227K | 8% | $156 | $105 (top 5% from $228) | 85th percentile | |
| 96139 | Administration of psychological or neuropsychological test by technician, each additional 30 minutes | $200K | 7% | $105 | $122 (top 5% from $367) | 42nd percentile | |
| 96133 | Evaluation of neuropsychological test, each additional hour | $195K | 7% | $93 | $238 (top 5% from $751) | 20th percentile | |
| 96121 | Exam of neurobehavioral status, each additional hour | $116K | 4% | $48 | $49 (top 5% from $204) | 46th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 96132 | Evaluation of neuropsychological test, first hour | 366 | 62 | $39K | $277 | $136 | 2.0x | 2.3x (90th percentile 4.7x) |
| 90837 | Psychotherapy, 1 hour | 257 | 22 | $32K | $325 | $162 | 2.0x | 1.6x (90th percentile 2.9x) |
| 96139 | Administration of psychological or neuropsychological test by technician, each additional 30 minutes | 785 | 53 | $25K | $81 | $41 | 2.0x | 3.1x (90th percentile 5.6x) |
| 97130 | Therapy procedure for a range of mental processes, each additional 15 minutes | 1,323 | 13 | $24K | $46 | $23 | 2.0x | 2.0x (90th percentile 3.0x) |
| 96116 | Exam of neurobehavioral status, first hour | 166 | 69 | $12K | $198 | $97 | 2.0x | 2.8x (90th percentile 5.1x) |
| 96133 | Evaluation of neuropsychological test, each additional hour | 150 | 53 | $12K | $210 | $105 | 2.0x | 2.9x (90th percentile 5.2x) |
| 97129 | Therapy procedure for a range of mental processes, initial 15 minutes | 441 | 13 | $8K | $48 | $24 | 2.0x | 2.1x (90th percentile 4.7x) |
| 96121 | Exam of neurobehavioral status, each additional hour | 112 | 63 | $7K | $160 | $80 | 2.0x | 3.1x (90th percentile 4.9x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
4 providers in Morris County, NJ carry an indicator in the public record, with $2.4M at stake between them. The most common is more hours than a day holds, on 2 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | TIMOTHY ALDRICH Succasunna, NJ, ranked 266 | $13K |
|
| 3 | PRIME HEALTHCARE SERVICES - SAINT CLARE'S LLC Dover, NJ, ranked 6697 | $0 |
|
| 4 | LILLIAN ALT Morristown, NJ, ranked 7663 | $2.2M |
|
| 5 | DAVID YAKOBASHVILI Chester, NJ, ranked 10386 | $206K |
|
Recent enforcement in NJ
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedJul 29, 2026
Fraud Division Resolves Fraud Investigation of Eye Care Group Under New Corporate Enforcement Policy; Health Care Executive Charged for Alleged Fraud and Kickbacks
DiDonato allegedly conspired to defraud Medicare by billing for unnecessary and duplicative diagnostic eye tests and paid kickbacks and bribes to ophthalmologists disguised as consulting fees for patient referrals, while Campus Eye received a declination after self-disclosing and agreed to pay back $1 million to victims.
DOJIndictedJul 29, 2026
Founder And Former CEO of New Jersey Based Eye Care Group Charged with Health Care Fraud Conspiracy and Paying Illegal Kickbacks
DiDonato allegedly paid kickbacks disguised as consulting fees to ophthalmologists for patient referrals and billed Medicare approximately $3.4 million for duplicative or unnecessary diagnostic tests performed at his optometry practice and eye surgery center.
DOJChargedJul 9, 2026
Six Individuals, Including a Pharmacist and Doctor, Charged in Connection with $20 Million Healthcare Fraud and Kickback Scheme
A pharmacy owner paid cash kickbacks to a doctor, advanced practice nurses, and an office manager in exchange for medically unnecessary prescriptions for high-reimbursement medications billed to Medicare and Medicaid.
DOJPleaded guiltyJun 24, 2026
Cape May County Psychiatrist Admits to 17 Felony Counts for Unlawful Controlled Substance Prescriptions Linked to Sexual Conduct, Risk of Death, and Serious Bodily Injury
A psychiatrist issued invalid prescriptions for Adderall, Vyvanse, and Xanax to 17 patients outside the usual course of professional practice, with intent to defraud and mislead the dispensing pharmacies and the insurers, government benefits programs, and other third parties who paid for the drugs, sometimes in exchange for sexual activities, images, or videos.
DOJSentencedMay 21, 2026
New Jersey Physical Therapist Sentenced to 12 Months in Prison for Health Care Fraud Scheme Targeting Amtrak
Kim, a licensed physical therapist, allowed her license and business bank accounts to be used to bill Amtrak's health care plan for claims for services that never were provided and were medically unnecessary, in return for a portion of the proceeds.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.