Merakey Midwest
Merakey Midwest was paid $2.88M by Medicaid between Jan 2018 and Jan 2024, across 8 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 59% of everything it billed.
LAFAYETTE HILL, PA 19444
Next to other Community/Behavioral Health Agency providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,934 | $629K | |
| 2019 | 4,657 | $765K | |
| 2020 | 2,337 | $289K | |
| 2021 | 2,888 | $377K | |
| 2022 | 2,522 | $434K | |
| 2023 | 2,073 | $357K | |
| 2024incomplete | 178 | $33K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 59% | 11,838 | 853 | $1.69M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 19% | 2,669 | 767 | $560K |
| 0365T | 15% | 2,883 | 257 | $435K | |
| 0364T | 2.8% | 2,929 | 257 | $81K | |
| 0369T | 2.6% | 532 | 217 | $75K | |
| 0368T | 1.1% | 577 | 223 | $32K | |
| 97156 | <1% | 148 | 98 | $8K | |
| 0359T | <1% | 13 | 13 | $6K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Merakey Allos | Richmond, VA | $22.48M |
| Merakey Pennsylvania | Huntingdon, PA | $17.43M |
| Merakey Pennsylvania | Harrisburg, PA | $13.08M |
| Merakey Parkside Recovery | Philadelphia, PA | $11.85M |
| Merakey Parkside Recovery | Philadelphia, PA | $6.05M |
| Merakey Philadelphia | Philadelphia, PA | $5.10M |
| Merakey Montgomery County | Colmar, PA | $5.03M |
| Merakey Montgomery County | Lansdale, PA | $5.02M |
| Merakey Delaware County | Sharon Hill, PA | $4.99M |
| Merakey Pennsylvania | Stroudsburg, PA | $4.80M |
| Merakey Pennsylvania | Stroudsburg, PA | $4.06M |
| Merakey Pennsylvania | Bethlehem, PA | $4.01M |
| Merakey Montgomery County | Lansdale, PA | $3.86M |
| Merakey Bucks County | Warminster, PA | $3.63M |
| Merakey Bucks County | Warminster, PA | $2.89M |
| NHS Stevens Center | Carlisle, PA | $2.86M |
| Merakey Delaware County | Sharon Hill, PA | $2.77M |
| Merakey Philadelphia | Philadelphia, PA | $2.63M |
| Merakey Childrens Services | Philadelphia, PA | $2.13M |
| Merakey Chester County | Kennett Square, PA | $1.96M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.