PENN PRESBYTERIAN MEDICAL CTR DETOX REHAB

NPI: 1033259627 · PHILA, PA 19104 · Substance Abuse Rehabilitation Facility · NPI assigned 02/06/2007

Billing Flags · Automated signals — not evidence of fraud

Single-Code Concentration

93% of spending on code H0018 with only 2 total codes billed. Highly concentrated billing profile.

$1.60M

Total Medicaid Paid

5,941

Total Claims

599

Beneficiaries

Codes Billed

2020-11

First Month

2022-06

Last Month

Provider Details

Authorized Official	MCCORMICK, THOMAS (ASSISTANT VICE PRESIDENT FINANCE)
NPI Enumeration Date	02/06/2007

Other providers sharing the same authorized official: MCCORMICK, THOMAS

Provider	City	State	Total Paid
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA	PHILADELPHIA	PA	$84.02M
THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS	PHILA	PA	$25.68M
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S	PHILADELPHIA	PA	$23.27M
HALL-MERCER CMH-MRC OF PENNSYLVANIA HOSP	PHILADELPHIA	PA	$14.08M
HALL-MERCER CMH-MRC OF PA HOSP	PHILA	PA	$6.82M
HOSPITAL OF UNIVERSITY OF PENNSYLVANIA	PHILA	PA	$2.61M
PENN PRESYBYTERIAN MEDICAL CENTER	PHILA	PA	$1.48M
THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS	PHILADELPHIA	PA	$69K
THOMAS E MCCORMICK, MD, PC	RUTLAND	VT	$22K
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S	PHILADELPHIA	PA	$11K

Code	Description	Claims	Beneficiaries	Total Paid
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	5,451	471	$1.49M
H0013	Alcohol and/or drug services; acute detoxification (residential addiction program outpatient)	490	128	$107K