Medicaid Provider Spending

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

PYRAMID HEALTHCARE INC.

NPI: 1215208301 · CHAMBERSBURG, PA 17201 · Clinic/Center · NPI assigned 01/20/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HENDRICKS, JASON controls 20+ related entities in our dataset. Read more

$3.29M
Total Medicaid Paid
26,551
Total Claims
13,388
Beneficiaries
10
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHENDRICKS, JASON (CEO)
NPI Enumeration Date01/20/2012

Related Entities

Other providers sharing the same authorized official: HENDRICKS, JASON

ProviderCityStateTotal Paid
PYRAMID HEALTH CARE INC. WILKINSBURG PA $128.75M
PYRAMID HEALTHCARE BELLEVILLE PA $87.33M
PYRAMID HEALTHCARE, INC. NEWPORT NEWS VA $40.65M
PYRAMID WALDEN LLC CHARLOTTE HALL MD $27.53M
OCTOBER ROAD INC. ASHEVILLE NC $24.64M
PYRAMID HEALTH CARE INC. DUNCANSVILLE PA $23.92M
MOUNTAINEER BEHAVIORAL HEALTH KEARNEYSVILLE WV $20.46M
PYRAMID WALDEN, LLC JOPPA MD $16.70M
PYRAMID HEALTHCARE INC. ALTOONA PA $14.30M
PYRAMID HEALTHCARE INC. ALTOONA PA $13.25M
PYRAMID HEALTHCARE INC. ALLENTOWN PA $11.01M
OCTOBER ROAD, INC. MARS HILL NC $10.82M
PYRAMID HEALTHCARE INC. EAST STROUDSBURG PA $10.38M
PYRAMID HEALTHCARE INC. LANGHORNE PA $8.62M
PYRMAID HEALTHCARE INC. YORK PA $8.19M
PYRAMID HEALTHCARE INC GIBSONIA PA $8.17M
PYRAMID HEALTHCARE, INC. RADFORD VA $7.68M
PYRAMID WALDEN, LLC CALIFORNIA MD $4.79M
PYRAMID HEALTHCARE INC. QUAKERTOWN PA $4.16M
OCTOBER ROAD, INC. ASHEVILLE NC $3.63M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,078 $107K
2021 6,350 $699K
2022 6,705 $825K
2023 7,208 $960K
2024 5,210 $697K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 9,485 1,523 $1.26M
G9012 Other specified case management service not elsewhere classified 2,435 2,415 $661K
90853 Group psychotherapy (other than of a multiple-family group) 5,585 2,433 $465K
90837 Psychotherapy, 53 minutes with patient 3,048 2,260 $418K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,721 1,411 $155K
90834 Psychotherapy, 45 minutes with patient 1,154 1,138 $143K
H0034 Medication training and support, per 15 minutes 2,301 1,771 $79K
H0047 Alcohol and/or other drug abuse services, not otherwise specified 587 241 $55K
90792 Psychiatric diagnostic evaluation with medical services 171 166 $46K
H0038 Self-help/peer services, per 15 minutes 64 30 $4K