Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PATH (PEOPLE ACTING TO HELP), INC

NPI: 1407912330 · PHILADELPHIA, PA 19152 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 12/28/2006

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

100% of spending on code H0004 with only 1 total codes billed. Highly concentrated billing profile.

$4.77M
Total Medicaid Paid
21,212
Total Claims
2,890
Beneficiaries
1
Codes Billed
2018-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBROWN, JEFF (CHIEF OPERATING OFFICER)
NPI Enumeration Date12/28/2006

Related Entities

Other providers sharing the same authorized official: BROWN, JEFF

ProviderCityStateTotal Paid
PATH (PEOPLE ACTING TO HELP), INC PHILADELPHIA PA $4.18M
PATH (PEOPLE ACTING TO HELP), INC. PHILADELPHIA PA $2.14M
ORTHONJ LLC SOMERSET NJ $858K
UNION COUNTY ORTHOPAEDIC GROUP PA LINDEN NJ $797K
VASCULAR SURGERY ASSOCIATES OF RICHMOND, PC HENRICO VA $132K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,276 $664K
2019 2,950 $878K
2020 1,077 $1K
2021 5,336 $150K
2022 3,825 $1.04M
2023 3,010 $1.04M
2024 2,738 $988K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 21,212 2,890 $4.77M