Medicaid Provider Spending

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

T.W. PONESSA & ASSOCIATES COUNSELING SERVICES, INC.

NPI: 1053341859 · LANCASTER, PA 17603 · Community/Behavioral Health Agency · NPI assigned 07/04/2006

$63.64M
Total Medicaid Paid
675,210
Total Claims
255,151
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDEGUIRE, CATHY (CEO)
NPI Enumeration Date07/04/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 718 $46K
2019 771 $50K
2020 54,046 $1.76M
2021 193,141 $6.16M
2022 158,503 $18.78M
2023 137,739 $18.40M
2024 130,292 $18.44M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2021 Community-based wrap-around services, per 15 minutes 177,820 15,680 $21.42M
H0032 Mental health service plan development by non-physician 105,500 31,453 $14.15M
90837 Psychotherapy, 53 minutes with patient 141,776 65,104 $11.50M
90834 Psychotherapy, 45 minutes with patient 69,494 38,601 $4.67M
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 15,057 1,190 $3.04M
H2019 Therapeutic behavioral services, per 15 minutes 29,570 8,792 $2.64M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 6,355 1,868 $1.80M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,556 10,200 $825K
90792 Psychiatric diagnostic evaluation with medical services 3,651 3,617 $673K
90847 Family psychotherapy with the patient present, 50 minutes 6,367 4,603 $491K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 15,198 14,653 $481K
90832 Psychotherapy, 30 minutes with patient 18,845 15,232 $449K
90791 Psychiatric diagnostic evaluation 2,978 2,965 $392K
96127 57,039 30,025 $381K
H0046 Mental health services, not otherwise specified 4,464 1,668 $293K
90846 Family psychotherapy without the patient present, 50 minutes 3,222 2,823 $168K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,238 1,204 $124K
H0034 Medication training and support, per 15 minutes 2,996 2,715 $63K
H0031 Mental health assessment, by non-physician 789 758 $43K
H2014 Skills training and development, per 15 minutes 2,053 1,829 $26K
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 70 12 $7K
H2010 Comprehensive medication services, per 15 minutes 172 159 $3K