Medicaid Provider Spending

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

PROSPECT HILL CONSULTANTS INC.

NPI: 1447496237 · BOURNE, MA 02532 · Clinical Social Worker · NPI assigned 12/28/2008

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

Authorized official MOORE, JOHN controls 12+ related entities in our dataset. Read more

$338K
Total Medicaid Paid
10,367
Total Claims
6,930
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMOORE, JOHN (VICE PRESIDENT)
NPI Enumeration Date12/28/2008

Related Entities

Other providers sharing the same authorized official: MOORE, JOHN

ProviderCityStateTotal Paid
MARC COMMUNITY RESOURCES, INC MESA AZ $80.48M
PENINSULA DENTAL, LLC MILLSBORO DE $12.29M
BEAR-GLASGOW DENTAL, LLC NEWARK DE $8.19M
HAYS MEDICAL CENTER, INC. HAYS KS $2.26M
CAROLINAS ANSON HEALTHCARE INC. WADESBORO NC $1.08M
MAGNOLIA SCHOOL DISTRICT 14 MAGNOLIA AR $551K
MOORE FOOT & ANKLE SPECIALISTS, PA ASHEVILLE NC $190K
DINUBA MEDICAL CLINIC DINUBA CA $40K
DRS. MOORE AND MOORE DENTAL ASSOCIATES CHARLESTON WV $16K
CYCLONE HEALTHCARE INC. AMES IA $10K
HAYS MEDICAL CENTER, INC. HAYS KS $1K
WALKER COUNTY HOSPITAL CORPORATION HUNTSVILLE TX $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,925 $60K
2019 1,725 $47K
2020 1,475 $42K
2021 1,790 $59K
2022 2,228 $72K
2023 946 $37K
2024 278 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,130 2,637 $155K
90836 2,957 2,503 $105K
90837 Psychotherapy, 53 minutes with patient 3,322 1,402 $63K
90834 Psychotherapy, 45 minutes with patient 853 283 $16K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 105 105 $0.00