COMMUNITY SOLUTIONS, INC.
NPI: 1073659967
· ALLENTOWN, PA 18101
· Community/Behavioral Health Agency
· NPI assigned 01/29/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code H2033 with only 3 total codes billed. Highly concentrated billing profile.
$7.14M
Total Medicaid Paid
Provider Details
| Authorized Official | PROVOST, NATHAN (CONTROLLER) |
| NPI Enumeration Date | 01/29/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
2,047 |
$508K |
| 2021 |
5,692 |
$1.39M |
| 2022 |
6,286 |
$2.17M |
| 2023 |
5,955 |
$2.46M |
| 2024 |
1,669 |
$621K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2033 |
Multisystemic therapy for juveniles, per 15 minutes |
20,414 |
3,438 |
$6.80M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
1,197 |
414 |
$336K |
| H0031 |
Mental health assessment, by non-physician |
38 |
31 |
$2K |