Medicaid Provider Spending

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

CHILDREN'S SERVICE CENTER OF WYOMING VALLEY

NPI: 1376763649 · WILKES BARRE, PA 18702 · Adolescent and Children Mental Health Clinic/Center · NPI assigned 04/27/2007

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

100% of spending on code H0019 with only 1 total codes billed. Highly concentrated billing profile.

$1.48M
Total Medicaid Paid
590
Total Claims
210
Beneficiaries
1
Codes Billed
2020-09
First Month
2021-08
Last Month

Provider Details

Authorized OfficialSIMMONS, BARRY (VP FINANCE)
NPI Enumeration Date04/27/2007

Related Entities

Other providers sharing the same authorized official: SIMMONS, BARRY

ProviderCityStateTotal Paid
CHILDREN'S SERVICE CENTER WILKES BARRE PA $26.00M
CHILDREN'S SERVICE CENTER OF WYOMING VALLEY WILKES BARRE PA $18.65M
CHILDREN'S SERVICE CENTER OF WYOMING VALLEY WILKES BARRE PA $4.68M
CHILDREN'S SERVICE CENTER OF WYOMING VALLEY WILKES BARRE PA $1.03M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 202 $551K
2021 388 $928K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 590 210 $1.48M