Medicaid Provider Spending

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

PCS MENTAL HEALTH LLC

NPI: 1326503079 · LANSFORD, PA 18232 · Community/Behavioral Health Agency · NPI assigned 02/07/2019

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

100% of spending on code H0018 with only 1 total codes billed. Highly concentrated billing profile.

$3.71M
Total Medicaid Paid
8,251
Total Claims
305
Beneficiaries
1
Codes Billed
2023-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMIKALIC, MARY (V.P. OF OPERATIONS)
NPI Enumeration Date02/07/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 3,653 $1.44M
2024 4,598 $2.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 8,251 305 $3.71M