Medicaid Provider Spending

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

MERAKEY ALLOS

NPI: 1407208085 · HAMILTON, OH 45011 · Occupational Therapist · NPI assigned 07/07/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TILSON, NORMAN controls 20+ related entities in our dataset. Read more

$4.39M
Total Medicaid Paid
30,262
Total Claims
4,428
Beneficiaries
13
Codes Billed
2019-11
First Month
2024-10
Last Month

Provider Details

Authorized OfficialTILSON, NORMAN (CORP SR. DIRECTOR OF BUSINESS OPS)
NPI Enumeration Date07/07/2016

Related Entities

Other providers sharing the same authorized official: TILSON, NORMAN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 369 $18K
2020 10,459 $1.03M
2021 6,897 $900K
2022 3,512 $1.29M
2023 5,053 $751K
2024 3,972 $396K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2019 Therapeutic behavioral services, per 15 minutes 18,194 1,485 $2.10M
H2020 Therapeutic behavioral services, per diem 699 175 $1.22M
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 2,506 351 $368K
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 1,866 163 $200K
G9012 Other specified case management service not elsewhere classified 1,999 1,266 $168K
T2021 Day habilitation, waiver; per 15 minutes 3,683 235 $164K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 240 93 $42K
97535 Self-care/home management training, each 15 minutes 416 303 $39K
T2029 Specialized medical equipment, not otherwise specified, waiver 30 26 $38K
90791 Psychiatric diagnostic evaluation 133 128 $15K
G9008 Coordinated care fee, physician coordinated care oversight services 173 152 $15K
97151 94 37 $11K
H0032 Mental health service plan development by non-physician 229 14 $9K