Pennsylvania Care, LLC
Pennsylvania Care, LLC was paid $16.60M by Medicaid between Mar 2019 and Dec 2024, across 8 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 47% of everything it billed.
ASHLEY, PA 18706
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 42 | $3K | |
| 2020 | 20,379 | $921K | |
| 2021 | 74,155 | $3.53M | |
| 2022 | 81,771 | $4.30M | |
| 2023 | 58,561 | $4.43M | |
| 2024incomplete | 45,870 | $3.43M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 47% | 70,596 | 19,209 | $7.75M |
| G9012 | Other specified case management service not elsewhere classified | 38% | 23,940 | 23,852 | $6.26M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 8.9% | 172,908 | 11,221 | $1.47M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.5% | 8,294 | 6,710 | $743K |
| H0034 | Medication training and support, per 15 minutes | 1.1% | 1,725 | 1,227 | $181K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,789 | 1,568 | $101K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,331 | 1,159 | $65K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 195 | 158 | $22K |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.