Medicaid Provider Spending

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

MERAKEY PENNSYLVANIA

NPI: 1295246585 · THIBODAUX, LA 70301 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 10/13/2017

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

100% of spending on code H0039 with only 3 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official TILSON, NORMAN controls 20+ related entities in our dataset. Read more

$9.29M
Total Medicaid Paid
10,716
Total Claims
8,356
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTILSON, NORMAN (CORP SR. DIRECTOR OF BUSINESS OPS)
NPI Enumeration Date10/13/2017

Related Entities

Other providers sharing the same authorized official: TILSON, NORMAN

ProviderCityStateTotal Paid
MERAKEY ALLOS RICHMOND VA $22.48M
MERAKEY PENNSYLVANIA HUNTINGDON PA $17.43M
MERAKEY PENNSYLVANIA HARRISBURG PA $13.08M
MERAKEY PARKSIDE RECOVERY PHILADELPHIA PA $11.85M
MERAKEY PARKSIDE RECOVERY PHILADELPHIA PA $6.05M
MERAKEY PHILADELPHIA PHILADELPHIA PA $5.10M
MERAKEY MONTGOMERY COUNTY COLMAR PA $5.03M
MERAKEY MONTGOMERY COUNTY LANSDALE PA $5.02M
MERAKEY DELAWARE COUNTY SHARON HILL PA $4.99M
MERAKEY PENNSYLVANIA STROUDSBURG PA $4.80M
MERAKEY PENNSYLVANIA STROUDSBURG PA $4.06M
MERAKEY PENNSYLVANIA BETHLEHEM PA $4.01M
MERAKEY MONTGOMERY COUNTY LANSDALE PA $3.86M
MERAKEY BUCKS COUNTY WARMINSTER PA $3.63M
MERAKEY BUCKS COUNTY WARMINSTER PA $2.89M
NHS STEVENS CENTER CARLISLE PA $2.86M
MERAKEY DELAWARE COUNTY SHARON HILL PA $2.77M
MERAKEY PHILADELPHIA PHILADELPHIA PA $2.63M
MERAKEY CHILDRENS SERVICES PHILADELPHIA PA $2.13M
MERAKEY CHESTER COUNTY KENNETT SQUARE PA $1.96M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,174 $749K
2019 1,610 $1.45M
2020 1,732 $1.36M
2021 1,596 $1.35M
2022 1,243 $1.08M
2023 1,746 $1.65M
2024 1,615 $1.66M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0039 Assertive community treatment, face-to-face, per 15 minutes 10,430 8,182 $9.28M
90791 Psychiatric diagnostic evaluation 179 128 $7K
98960 107 46 $0.00