Medicaid Provider Spending

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

MAIN LINE REHABILITATION ASSOCIATES

NPI: 1265688188 · EXTON, PA 19341 · Community/Behavioral Health Agency · NPI assigned 08/12/2008

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

100% of spending on code 92507 with only 1 total codes billed. Highly concentrated billing profile.

$5.41M
Total Medicaid Paid
31,339
Total Claims
4,514
Beneficiaries
1
Codes Billed
2020-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARROLL, JAMES (DIRECTOR OF OPERATIONS)
NPI Enumeration Date08/12/2008

Related Entities

Other providers sharing the same authorized official: CARROLL, JAMES

ProviderCityStateTotal Paid
CEDAR COVE ASSISTED LIVING, LLC WILMINGTON NC $4.34M
MAIN LINE REHABILITATION ASSOCIATES INC EXTON PA $251K
JAMES R CARROLL MD PA MULLINS SC $174K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 4,040 $569K
2021 8,853 $1.49M
2022 7,839 $1.35M
2023 5,644 $1.04M
2024 4,963 $968K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 31,339 4,514 $5.41M