Medicaid Provider Spending

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

UPPER BAY COUNSELING & SUPPORT SERVICES, INC

NPI: 1346634680 · ELKTON, MD 21921 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 03/25/2015

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

100% of spending on code H0040 with only 1 total codes billed. Highly concentrated billing profile.

$6.68M
Total Medicaid Paid
4,628
Total Claims
4,484
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBLUMBERG, SUANNE (CEO)
NPI Enumeration Date03/25/2015

Related Entities

Other providers sharing the same authorized official: BLUMBERG, SUANNE

ProviderCityStateTotal Paid
UPPER BAY COUNSELING & SUPPORT SERVICES, INC. ELKTON MD $19.08M
UPPER BAY COUNSELING & SUPPORT SERVICES, INC. ELKTON MD $15.64M
UPPER BAY COUNSELING AND SUPPORT SERVICES, INC HAVRE DE GRACE MD $7.48M
UPPER BAY COUNSELING AND SUPPORT SERVICES, INC HAVRE DE GRACE MD $4.45M
UPPER BAY COUNSELING & SUPPORT SERVICES, INC NORTH EAST MD $2.13M
UPPER BAY COUNSELING AND SUPPORT SERVICES, INC ELKTON MD $1.94M
UPPER BAY COUNSELING & SUPPORT SERVICES, INC NORTH EAST MD $456K
UPPER BAY COUNSELING& SUPPORT SERVICES, INC ELKTON MD $42K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 536 $674K
2019 569 $741K
2020 808 $905K
2021 711 $1.02M
2022 648 $1.01M
2023 688 $1.12M
2024 668 $1.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0040 Assertive community treatment program, per diem 4,628 4,484 $6.68M