Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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NORTHUMBERLAND COUNTY MENTAL HEALTH/MENTAL RETARDATION PROGRAM

NPI: 1134101058 · SUNBURY, PA 17801 · Case Management Agency · NPI assigned 11/16/2005

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.

$2.49M
Total Medicaid Paid
24,560
Total Claims
8,348
Beneficiaries
1
Codes Billed
2020-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDAVIS, JUDITH (ADMINISTRATOR)
NPI Enumeration Date11/16/2005

Related Entities

Other providers sharing the same authorized official: DAVIS, JUDITH

ProviderCityStateTotal Paid
NORTHUMBERLAND COUNTY MENTAL HEALTH MENTAL RETARDATION PROGRAM SUNBURY PA $8.17M
NORTHUMBERLAND COUNTY MENTAL HEALTH MENTAL RETARDATION PROGRAM SUNBURY PA $1.75M
NORTHUMBERLAND COUNTY MHMR PROGRAM SUNBURY PA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,363 $173K
2021 7,195 $560K
2022 5,843 $621K
2023 5,679 $686K
2024 3,480 $454K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1017 Targeted case management, each 15 minutes 24,560 8,348 $2.49M