Medicaid Provider Spending

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

WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC

NPI: 1235365131 · SHAVERTOWN, PA 18708 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 06/05/2009

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

Authorized official LALOR, PAULA controls 20+ related entities in our dataset. Read more

$7.20M
Total Medicaid Paid
77,797
Total Claims
43,414
Beneficiaries
12
Codes Billed
2019-10
First Month
2022-10
Last Month

Provider Details

Authorized OfficialLALOR, PAULA (DIRECTOR/DELEGATED OFFICIAL)
Parent OrganizationWILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
NPI Enumeration Date06/05/2009

Related Entities

Other providers sharing the same authorized official: LALOR, PAULA

ProviderCityStateTotal Paid
ROSWELL HOSPITAL CORPORATION ROSWELL NM $41.27M
WESLEY HEALTH SYSTEM LLC HATTIESBURG MS $37.82M
METRO KNOXVILLE HMA LLC POWELL TN $28.70M
BULLHEAD CITY HOSPITAL CORPORATION BULLHEAD CITY AZ $28.54M
IOM HEALTH SYSTEM LP FORT WAYNE IN $27.50M
ST. JOSEPH HEALTH SYSTEM, LLC FORT WAYNE IN $25.43M
LAREDO TEXAS HOSPITAL COMPANY LP LAREDO TX $19.46M
OAK HILL HOSPITAL CORPORATION OAK HILL WV $18.77M
COCKE COUNTY HMA, LLC NEWPORT TN $18.34M
CLEVELAND TENNESSEE HOSPITAL COMPANY LLC CLEVELAND TN $16.31M
JEFFERSON COUNTY HMA LLC JEFFERSON CITY TN $14.31M
NORTHWEST ARKANSAS HOSPITALS, LLC SPRINGDALE AR $11.46M
PETERSBURG HOSPITAL COMPANY LLC PETERSBURG VA $11.20M
CAMPBELL COUNTY HMA, LLC LAFOLLETTE TN $10.07M
WARSAW HEALTH SYSTEM LLC WARSAW IN $9.95M
LONGVIEW MEDICAL CENTER LP LONGVIEW TX $9.29M
MOBERLY HOSPITAL COMPANY LLC MOBERLY MO $8.61M
CRESTVIEW HOSPITAL COMPANY, LLC CRESTVIEW FL $8.15M
KIRKSVILLE MISSOURI HOSPITAL COMPANY, LLC KIRKSVILLE MO $7.98M
VICTORIA OF TEXAS LP VICTORIA TX $7.74M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $164.40
2020 12,009 $952K
2021 39,621 $3.65M
2022 26,155 $2.60M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2021 Community-based wrap-around services, per 15 minutes 19,251 1,685 $2.65M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 25,691 22,872 $1.51M
90834 Psychotherapy, 45 minutes with patient 12,084 5,890 $922K
H0032 Mental health service plan development by non-physician 6,806 2,269 $772K
90792 Psychiatric diagnostic evaluation with medical services 3,714 3,674 $719K
H2019 Therapeutic behavioral services, per 15 minutes 1,600 548 $213K
90832 Psychotherapy, 30 minutes with patient 5,508 3,787 $210K
90837 Psychotherapy, 53 minutes with patient 1,229 1,228 $105K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 466 441 $46K
H2010 Comprehensive medication services, per 15 minutes 956 729 $31K
90853 Group psychotherapy (other than of a multiple-family group) 307 112 $15K
H0034 Medication training and support, per 15 minutes 185 179 $9K