Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

PCS Mental Health LLC

PCS Mental Health LLC was paid $3.71M by Medicaid between Apr 2023 and Dec 2024, across 1 billing code. Its largest line is H0018, Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem — 100% of everything it billed.

33Billing provider infoPCS MENTAL HEALTH LLC
LANSFORD, PA 18232
33aNPI1326503079assigned 02/07/2019
28Total paid$3.71M
24GClaims8,251
24DCodes billed1
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in Pennsylvania

Rank by total paid#138 of 517
Median peer was paid$1.23M
This provider vs. median3.0×

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 H0018 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
20233,653$1.44M
2024incomplete4,598$2.27M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 100% 8,251 305 $3.71M

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 officialMIKALIC, MARY (V.P. OF OPERATIONS)