PROGRESSIVE MEDICAL SPECIALISTS, INC
NPI: 1437215431
· HOUSTON, PA 15342
· Methadone Clinic
· NPI assigned 12/28/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1015 with only 1 total codes billed. Highly concentrated billing profile.
$6.82M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
4,035 |
$463K |
| 2021 |
15,682 |
$1.68M |
| 2022 |
15,160 |
$1.68M |
| 2023 |
14,222 |
$1.61M |
| 2024 |
11,712 |
$1.38M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
60,811 |
14,663 |
$6.82M |