Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MOUNTAINS EDGE RECOVERY CENTER LLC

NPI: 1386201713 · UNION DALE, PA 18470 · Substance Abuse Rehabilitation Facility · NPI assigned 05/21/2019

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

100% of spending on code H0035 with only 1 total codes billed. Highly concentrated billing profile.

$2.37M
Total Medicaid Paid
6,012
Total Claims
276
Beneficiary Records
1
Codes Billed
2023-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHALL, CHRISTOPHER (CFO)
NPI Enumeration Date05/21/2019

Related Entities

Other providers sharing the same authorized official: HALL, CHRISTOPHER

ProviderCityStateTotal Paid
JUST BELIEVE RECOVERY CENTER OF CARBONDALE CARBONDALE PA $6.93M
EAR, NOSE & THROAT GROUP, INC MEMPHIS TN $242.48

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 593 $237K
2024 5,419 $2.13M

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
H0035 Mental health partial hospitalization, treatment, less than 24 hours 6,012 276 $2.37M