Medicaid Provider Spending

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

GEMMA SERVICES

NPI: 1144310830 · PLYMOUTH MEETING, PA 19462 · Local Education Agency (LEA) · NPI assigned 10/13/2006

$23.75M
Total Medicaid Paid
152,196
Total Claims
49,526
Beneficiaries
22
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGAY, KRISTEN (PRESIDENT)
NPI Enumeration Date10/13/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 3,635 $25K
2021 37,151 $4.14M
2022 33,870 $4.51M
2023 39,313 $6.91M
2024 38,227 $8.16M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 17,649 1,432 $5.84M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 19,757 4,559 $3.67M
H0032 Mental health service plan development by non-physician 24,433 5,555 $2.87M
90837 Psychotherapy, 53 minutes with patient 25,555 9,903 $2.33M
H2019 Therapeutic behavioral services, per 15 minutes 16,032 4,368 $2.15M
H0004 Behavioral health counseling and therapy, per 15 minutes 5,613 747 $1.65M
90847 Family psychotherapy with the patient present, 50 minutes 9,630 5,597 $1.02M
90832 Psychotherapy, 30 minutes with patient 9,439 4,044 $995K
H2021 Community-based wrap-around services, per 15 minutes 5,273 565 $893K
90834 Psychotherapy, 45 minutes with patient 6,448 2,759 $571K
90792 Psychiatric diagnostic evaluation with medical services 864 841 $410K
90846 Family psychotherapy without the patient present, 50 minutes 2,947 1,957 $289K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,202 2,090 $214K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,110 1,059 $197K
97151 744 406 $188K
96127 1,542 1,508 $144K
T1016 Case management, each 15 minutes 599 271 $113K
H0034 Medication training and support, per 15 minutes 859 810 $86K
H0031 Mental health assessment, by non-physician 640 619 $61K
90791 Psychiatric diagnostic evaluation 249 245 $31K
97156 188 55 $28K
H0046 Mental health services, not otherwise specified 423 136 $0.00