Medicaid Provider Spending

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

NPI: 1225421878 · ALLENTOWN, PA 18104 · Community/Behavioral Health Agency · NPI assigned 03/06/2015

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

100% of spending on code H0039 with only 1 total codes billed. Highly concentrated billing profile.

$8.16M
Total Medicaid Paid
40,020
Total Claims
4,895
Beneficiaries
1
Codes Billed
2019-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWILUSH, JEFFREY (PRESIDENT & CEO)
Parent OrganizationHORIZON HOUSE, INC.
NPI Enumeration Date03/06/2015

Related Entities

Other providers sharing the same authorized official: WILUSH, JEFFREY

ProviderCityStateTotal Paid
HOUSE HOUSE REHABILITATION SERVICES PHILADELPHIA PA $32.78M
HORIZON HOUSE, INC. PHILADELPHIA PA $13.91M
HORIZON HOUSE DELAWARE INC WILMINGTON DE $3.84M
HORIZON HOUSE DELAWARE INC WILMINGTON DE $3.74M
HORIZON HOUSE DELAWARE INC. WILMINGTON DE $3.58M
HORIZON HOUSE DELAWARE INC. WILMINGTON DE $3.37M
HORIZON HOUSE DELAWARE INC. GEORGETOWN DE $3.27M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 422 $671K
2020 2,856 $439K
2021 10,840 $1.75M
2022 9,575 $1.72M
2023 8,584 $1.84M
2024 7,743 $1.74M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0039 Assertive community treatment, face-to-face, per 15 minutes 40,020 4,895 $8.16M