Medicaid Provider Spending

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

PRESSLEY RIDGE

NPI: 1073631123 · PITTSBURGH, PA 15212 · Case Management Agency · NPI assigned 03/27/2007

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

100% of spending on code T1017 with only 1 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official BLAIR, BETH controls 15+ related entities in our dataset. Read more

$2.51M
Total Medicaid Paid
22,348
Total Claims
8,609
Beneficiaries
1
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBLAIR, BETH (SR ACCOUNTING DIRECTOR)
Parent OrganizationPRESSLEY RIDGE
NPI Enumeration Date03/27/2007

Related Entities

Other providers sharing the same authorized official: BLAIR, BETH

ProviderCityStateTotal Paid
PRESSLEY RIDGE WAYNESBURG PA $12.19M
PRESSLEY RIDGE GREENSBURG PA $6.62M
PRESSLEY RIDGE ONA WV $5.59M
PRESSLEY RIDGE CLARKSBURG WV $2.19M
PRESSLEY RIDGE CINCINNATI OH $1.83M
PRESSLEY RIDGE YORK PA $1.69M
PRESSLEY RIDGE ONA WV $1.67M
PRESSLEY RIDGE PITTSBURGH PA $1.23M
PRESSLEY RIDGE PITTSBURGH PA $686K
PRESSLEY RIDGE PITTSBURGH PA $436K
PRESSLEY RIDGE CUMBERLAND MD $220K
PRESSLEY RIDGE MORGANTOWN WV $188K
PRESSLEY RIDGE MORGANTOWN WV $43K
PRESSLEY RIDGE PITTSBURGH PA $41K
PRESSLEY RIDGE CLARKSBURG WV $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,463 $176K
2021 6,307 $542K
2022 5,297 $603K
2023 3,948 $560K
2024 4,333 $631K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1017 Targeted case management, each 15 minutes 22,348 8,609 $2.51M