Medicaid Provider Spending

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

COMMUNITY GUIDANCE CENTER

NPI: 1235308396 · INDIANA, PA 15701 · Community/Behavioral Health Agency · NPI assigned 02/22/2008

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

100% of spending on code H0036 with only 1 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official MIKULA, DARRIN controls 11+ related entities in our dataset. Read more

$5.38M
Total Medicaid Paid
29,073
Total Claims
3,883
Beneficiaries
1
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMIKULA, DARRIN (CFO)
NPI Enumeration Date02/22/2008

Related Entities

Other providers sharing the same authorized official: MIKULA, DARRIN

ProviderCityStateTotal Paid
COMMUNITY GUIDANCE CENTER INDIANA PA $10.79M
COMMUNITY GUIDANCE CENTER INDIANA PA $5.05M
COMMUNITY GUIDANCE CENTER INDIANA PA $3.27M
COMMUNITY GUIDANCE CENTER INDIANA PA $1.72M
COMMUNITY GUIDANCE CENTER INDIANA PA $1.59M
COMMUNITY GUIDANCE CENTER INDIANA PA $1.30M
COMMUNITY GUIDANCE CENTER CLEARFIELD PA $1.13M
COMMUNITY GUIDANCE CENTER INDIANA PA $607K
COMMUNITY GUIDANCE CENTER INDIANA PA $493K
COMMUNITY GUIDANCE CENTER CLEARFIELD PA $104K
COMMUNITY GUIDANCE CENTER PUNXSUTAWNEY PA $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,807 $225K
2021 6,846 $1.07M
2022 5,899 $1.15M
2023 7,690 $1.51M
2024 6,831 $1.43M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 29,073 3,883 $5.38M