Agency
Focus Behavioral Health INC.
Focus Behavioral Health INC. was paid $1.83M by Medicaid between Jan 2018 and Apr 2019, across 1 billing code. Its largest line is 96151, — 100% of everything it billed.
33Billing provider infoFOCUS BEHAVIORAL HEALTH INC.
LITTLESTOWN, PA 17340
LITTLESTOWN, PA 17340
33aNPI1275833436assigned 10/21/2010
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$1.83M
24GClaims15,374
24DCodes billed1
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Community/Behavioral Health Agency providers in Pennsylvania
Rank by total paid#214 of 517
Median peer was paid$1.23M
This provider vs. median1.5×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code 96151 with only 1 total codes billed. Highly concentrated billing profile.
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 | 11,679 | $1.39M | |
| 2019 | 3,695 | $436K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96151 | 100% | 15,374 | 1,225 | $1.83M |
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 officialMUDGETT, WILLIAM (VICE PRESIDENT)