Medicaid Provider Spending

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

NEW DIRECTIONS TREATMENT SERVICES

NPI: 1215955240 · WEST READING, PA 19611 · Methadone Clinic · NPI assigned 07/17/2006

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

90% of spending on code T1015 with only 3 total codes billed. Highly concentrated billing profile.

$6.26M
Total Medicaid Paid
62,939
Total Claims
17,061
Beneficiaries
3
Codes Billed
2020-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSTERNER, PATRICK (FINANCE DIRECTOR)
NPI Enumeration Date07/17/2006

Related Entities

Other providers sharing the same authorized official: STERNER, PATRICK

ProviderCityStateTotal Paid
NEW DIRECTIONS TREATMENT SERVICES BETHLEHEM PA $5.64M
NEW DIRECTIONS TREATMENT SERVICES BETHLEHEM PA $973K
NEW DIRECTIONS TREATMENT SERVICES READING PA $33K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 770 $83K
2021 21,765 $2.46M
2022 22,149 $2.28M
2023 17,819 $1.33M
2024 436 $109K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 51,268 13,557 $5.64M
G9012 Other specified case management service not elsewhere classified 1,829 1,829 $485K
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 9,842 1,675 $134K