Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HORIZON HOUSE DELAWARE INC.

NPI: 1023372638 · GEORGETOWN, DE 19947 · Case Management Agency · NPI assigned 06/28/2012

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code H0040 with only 1 total codes billed. Highly concentrated billing profile.

$3.27M
Total Medicaid Paid
12,866
Total Claims
4,368
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialWILUSH, JEFFREY (PRESIDENT & CEO)
NPI Enumeration Date06/28/2012

Related Entities

Other providers sharing the same authorized official: WILUSH, JEFFREY

ProviderCityStateTotal Paid
HOUSE HOUSE REHABILITATION SERVICES PHILADELPHIA PA $32.78M
HORIZON HOUSE, INC. PHILADELPHIA PA $13.91M
HORIZON HOUSE, INC. ALLENTOWN PA $8.16M
HORIZON HOUSE DELAWARE INC WILMINGTON DE $3.84M
HORIZON HOUSE DELAWARE INC WILMINGTON DE $3.74M
HORIZON HOUSE DELAWARE INC. WILMINGTON DE $3.58M
HORIZON HOUSE DELAWARE INC. WILMINGTON DE $3.37M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,919 $515K
2019 1,948 $557K
2020 2,210 $636K
2021 1,986 $571K
2022 1,703 $460K
2023 2,441 $374K
2024 659 $158K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0040 Assertive community treatment program, per diem 12,866 4,368 $3.27M