Clinic
Progressive Medical Specialists, INC
Progressive Medical Specialists, INC was paid $6.82M by Medicaid between Sep 2020 and Dec 2024, across 1 billing code. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoPROGRESSIVE MEDICAL SPECIALISTS, INC
HOUSTON, PA 15342
HOUSTON, PA 15342
33aNPI1437215431assigned 12/28/2006
33bProvider typeMethadone Clinic
28Total paid$6.82M
24GClaims60,811
24DCodes billed1
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Methadone Clinic providers in Pennsylvania
Rank by total paid#9 of 26
Median peer was paid$5.04M
This provider vs. median1.4×
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 T1015 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 4,035 | $463K | |
| 2021 | 15,682 | $1.68M | |
| 2022 | 15,160 | $1.68M | |
| 2023 | 14,222 | $1.61M | |
| 2024incomplete | 11,712 | $1.38M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 60,811 | 14,663 | $6.82M |
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 officialROBERTO, ANNAMARIE (PROJECT DIRECTOR)