Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

The Guidance Center

The Guidance Center was paid $25.76M by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is W0500, — 94% of everything it billed.

33Billing provider infoTHE GUIDANCE CENTER
BRADFORD, PA 16701
33aNPI1003346511assigned 06/16/2017
28Total paid$25.76M
24GClaims190,475
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Community Health Clinic/Center providers in Pennsylvania

Rank by total paid#3 of 17
Median peer was paid$10.74M
This provider vs. median2.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20181,380$118K
2019666$71K
202041,497$5.05M
202137,397$4.85M
202238,811$5.25M
202338,338$5.49M
2024incomplete32,386$4.93M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
W0500 94% 67,054 65,795 $24.18M
H0039 Assertive community treatment, face-to-face, per 15 minutes 5.4% 5,102 659 $1.39M
T1040 Medicaid certified community behavioral health clinic services, per diem <1% 2,046 1,149 $189K
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 0% 24,947 9,579 $0.00
H0036 Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes 0% 4,996 1,865 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 0% 29,029 26,924 $0.00
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 0% 9,123 7,442 $0.00
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 0% 3,996 3,890 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 0% 5,292 5,224 $0.00
90846 Family psychotherapy without the patient present, 50 minutes 0% 54 52 $0.00
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 0% 27 26 $0.00
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 0% 5,484 5,363 $0.00
5 more codes
H0038 Self-help/peer services, per 15 minutes 0% 3,530 $0.00
90834 Psychotherapy session, about 45 minutes 0% 25,610 $0.00
90792 Psychiatric diagnostic evaluation with medical services 0% 3,738 $0.00
99214 Doctor's office visit, returning patient (more involved) 0% 378 $0.00
90847 Family psychotherapy with the patient present, 50 minutes 0% 69 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBEAN, DENISE (EXECUTIVE DIRECTOR)
Same official

Other billing entities under BEAN, DENISE

Full network →
ProviderLocationPaid
The Guidance CenterBradford, PA$4.12M
The Guidance CenterBradford, PA$1.62M
The Guidance CenterBradford, PA$857K
The Guidance CenterBradford, PA$187K
Tompkinsville Primary CareTompkinsville, KY$154K
The Guidance CenterBradford, PA$151K
The Guidance CenterBradford, PA$83.41

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.