Medicaid Provider Spending

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

THE GUIDANCE CENTER

NPI: 1306970678 · BRADFORD, PA 16701 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 03/16/2007

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

100% of spending on code H0004 with only 2 total codes billed. Highly concentrated billing profile.

$1.62M
Total Medicaid Paid
8,936
Total Claims
743
Beneficiaries
2
Codes Billed
2020-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBEAN, DENISE (EXECUTIVE DIRECTOR)
NPI Enumeration Date03/16/2007

Related Entities

Other providers sharing the same authorized official: BEAN, DENISE

ProviderCityStateTotal Paid
THE GUIDANCE CENTER BRADFORD PA $25.76M
THE GUIDANCE CENTER BRADFORD PA $4.12M
THE GUIDANCE CENTER BRADFORD PA $857K
THE GUIDANCE CENTER BRADFORD PA $187K
TOMPKINSVILLE PRIMARY CARE TOMPKINSVILLE KY $154K
THE GUIDANCE CENTER BRADFORD PA $151K
THE GUIDANCE CENTER BRADFORD PA $83.41

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 745 $70K
2021 2,765 $364K
2022 1,646 $295K
2023 1,648 $365K
2024 2,132 $532K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 8,877 706 $1.62M
T1016 Case management, each 15 minutes 59 37 $4K