Agency
Commonwealth of Pennsylvania Department of Education
Commonwealth of Pennsylvania Department of Education was paid $326.02M by Medicaid between Jan 2018 and Oct 2024, across 20 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 36% of everything it billed.
33Billing provider infoCOMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF EDUCATION
WEST HAZLETON, PA 18202
WEST HAZLETON, PA 18202
33aNPI1245430438assigned 07/25/2007
33bProvider typeLocal Education Agency (LEA)
28Total paid$326.02M
24GClaims12,967,883
24DCodes billed20
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Local Education Agency (LEA) providers in Pennsylvania
Rank by total paid#1 of 10
Median peer was paid$358K
This provider vs. median911×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,330,799 | $55.33M | |
| 2019 | 2,210,137 | $55.30M | |
| 2020 | 1,262,862 | $27.23M | |
| 2021 | 1,816,329 | $43.40M | |
| 2022 | 2,016,197 | $57.57M | |
| 2023 | 1,925,642 | $51.34M | |
| 2024incomplete | 1,405,917 | $35.85M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 36% | 1,955,946 | 190,538 | $117.37M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 18% | 2,490,877 | 978,470 | $58.46M |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 17% | 1,820,171 | 600,401 | $55.69M |
| 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | 11% | 3,728,210 | 1,328,654 | $37.28M |
| A0434 | Specialty care transport (sct) | 7.6% | 1,459,546 | 251,920 | $24.62M |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 6.1% | 732,532 | 286,188 | $20.04M |
| H0046 | Mental health services, not otherwise specified | 2.1% | 360,548 | 132,157 | $6.99M |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | <1% | 380,244 | 31,177 | $2.38M |
| 97533 | <1% | 15,110 | 5,583 | $1.21M | |
| T1002 | Rn services, up to 15 minutes | <1% | 6,890 | 634 | $667K |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 8,249 | 829 | $590K |
| 92523 | <1% | 1,637 | 1,625 | $220K |
8 more codes
| H2027 | Psychoeducational service, per 15 minutes | <1% | 6,068 | $184K |
| 97166 | <1% | 578 | $88K | |
| 96156 | <1% | 283 | $67K | |
| 96150 | <1% | 319 | $64K | |
| 96151 | <1% | 242 | $55K | |
| S9152 | Speech therapy, re-evaluation | <1% | 208 | $27K |
| 97168 | <1% | 166 | $16K | |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 59 | $1K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGREGO, GLORIA (DIRECTOR, PA MEDICAID SCH BASED PRG)