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

Children's Service Center of Wyoming Valley

Children's Service Center of Wyoming Valley was paid $1.48M by Medicaid between Sep 2020 and Aug 2021, across 1 billing code. Its largest line is 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 — 100% of everything it billed.

33Billing provider infoCHILDREN'S SERVICE CENTER OF WYOMING VALLEY
WILKES BARRE, PA 18702
33aNPI1376763649assigned 04/27/2007
28Total paid$1.48M
24GClaims590
24DCodes billed1
24AFirst – last monthSep 2020 – Aug 2021
Compared with peers

Next to other Adolescent and Children Mental Health Clinic/Center providers in Pennsylvania

Rank by total paid#21 of 40
Median peer was paid$1.48M
This provider vs. median1.0×

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 H0019 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
2020202$551K
2021388$928K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 100% 590 210 $1.48M

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 officialSIMMONS, BARRY (VP FINANCE)
Same official

Other billing entities under SIMMONS, BARRY

Full network →
ProviderLocationPaid
Children's Service CenterWilkes Barre, PA$26.00M
Children's Service Center of Wyoming ValleyWilkes Barre, PA$18.65M
Children's Service Center of Wyoming ValleyWilkes Barre, PA$4.68M
Children's Service Center of Wyoming ValleyWilkes Barre, PA$1.03M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.