Medicaid Provider Spending

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

PMHCC, INC

NPI: 1467652412 · PHILADELPHIA, PA 19109 · Case Management Agency · NPI assigned 07/18/2007

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

100% of spending on code H0006 with only 1 total codes billed. Highly concentrated billing profile.

$9.06M
Total Medicaid Paid
39,296
Total Claims
19,874
Beneficiaries
1
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBORISLOW, BERNARD (EXECUTIVE DIRECTOR)
Parent OrganizationPMHCC, INC
NPI Enumeration Date07/18/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,032 $0.00
2021 12,197 $0.00
2022 10,549 $3.30M
2023 8,480 $3.13M
2024 6,038 $2.63M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0006 Alcohol and/or drug services; case management 39,296 19,874 $9.06M