Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Richard J Caron Foundation

Richard J Caron Foundation was paid $663K by Medicaid between Sep 2020 and Nov 2024, across 5 billing codes. Its largest line is H0015, Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education — 57% of everything it billed.

33Billing provider infoRICHARD J CARON FOUNDATION
WYOMISSING, PA 19610
33aNPI1255397436assigned 04/25/2006
28Total paid$663K
24GClaims6,084
24DCodes billed5
24AFirst – last monthSep 2020 – Nov 2024
Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Pennsylvania

Rank by total paid#32 of 83
Median peer was paid$213K
This provider vs. median3.1×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2020549$52K
2021947$90K
2022927$101K
20231,480$159K
2024incomplete2,181$261K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 57% 3,358 525 $379K
90792 Psychiatric diagnostic evaluation with medical services 20% 627 538 $131K
90853 Group psychotherapy (other than of a multiple-family group) 11% 1,199 458 $74K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 11% 854 423 $73K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient <1% 46 25 $6K

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 officialCURRENT, KELLY (SR DIRECTOR PATIENT FINANCIAL SERVI)