Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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NULTON DIAGNOSTIC AND TREATMENT CENTER

NPI: 1467677831 · JOHNSTOWN, PA 15904 · Community/Behavioral Health Agency · NPI assigned 04/13/2007

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

98% of spending on code H0004 with only 2 total codes billed. Highly concentrated billing profile.

$3.55M
Total Medicaid Paid
10,970
Total Claims
2,188
Beneficiaries
2
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNULTON, LARRY (OWNER)
NPI Enumeration Date04/13/2007

Related Entities

Other providers sharing the same authorized official: NULTON, LARRY

ProviderCityStateTotal Paid
PEERSTAR, LLC JOHNSTOWN PA $40.64M
PEERSTAR ADVOCACY ALLIANCE LLC LEWISTOWN PA $5.72M
NULTON DIAGNOSTIC AND TREATMENT CENTER BEDFORD PA $1.40M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 983 $101K
2021 2,553 $577K
2022 2,558 $920K
2023 2,435 $941K
2024 2,441 $1.01M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 10,494 1,877 $3.48M
T1016 Case management, each 15 minutes 476 311 $76K