Agency
PMHCC, INC
PMHCC, INC was paid $9.06M by Medicaid between Oct 2020 and Nov 2024, across 1 billing code. Its largest line is H0006, Alcohol and/or drug services; case management — 100% of everything it billed.
33Billing provider infoPMHCC, INC
PHILADELPHIA, PA 19109
PHILADELPHIA, PA 19109
33aNPI1467652412assigned 07/18/2007
33bProvider typeCase Management Agency
28Total paid$9.06M
24GClaims39,296
24DCodes billed1
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in Pennsylvania
Rank by total paid#52 of 206
Median peer was paid$2.13M
This provider vs. median4.3×
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 H0006 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 | 2,032 | $0.00 | |
| 2021 | 12,197 | $0.00 | |
| 2022 | 10,549 | $3.30M | |
| 2023 | 8,480 | $3.13M | |
| 2024incomplete | 6,038 | $2.63M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0006 | Alcohol and/or drug services; case management | 100% | 39,296 | 19,874 | $9.06M |
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 officialBORISLOW, BERNARD (EXECUTIVE DIRECTOR)
Parent organizationPMHCC, INC