Pyramid Health Care INC.
Pyramid Health Care INC. was paid $128.75M by Medicaid between Sep 2020 and Dec 2024, across 4 billing codes. Its largest line is H2036, Alcohol and/or other drug treatment program, per diem — 79% of everything it billed.
WILKINSBURG, PA 15221
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 | |
|---|---|---|---|
| 2020 | 4,990 | $1.36M | |
| 2021 | 25,277 | $7.10M | |
| 2022 | 96,095 | $28.49M | |
| 2023 | 153,375 | $46.18M | |
| 2024incomplete | 142,932 | $45.62M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2036 | Alcohol and/or other drug treatment program, per diem | 79% | 343,324 | 22,523 | $101.60M |
| H0013 | Alcohol and/or drug services; acute detoxification (residential addiction program outpatient) | 18% | 62,885 | 15,073 | $22.83M |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 2.9% | 13,984 | 1,042 | $3.68M |
| T2048 | Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem | <1% | 2,476 | 169 | $645K |
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
| Provider | Location | Paid |
|---|---|---|
| Pyramid Healthcare | Belleville, PA | $87.33M |
| Pyramid Healthcare, INC. | Newport News, VA | $40.65M |
| Pyramid Walden LLC | Charlotte Hall, MD | $27.53M |
| October Road INC. | Asheville, NC | $24.64M |
| Pyramid Health Care INC. | Duncansville, PA | $23.92M |
| Mountaineer Behavioral Health | Kearneysville, WV | $20.46M |
| Pyramid Walden, LLC | Joppa, MD | $16.70M |
| Pyramid Healthcare INC. | Altoona, PA | $14.30M |
| Pyramid Healthcare INC. | Altoona, PA | $13.25M |
| Pyramid Healthcare INC. | Allentown, PA | $11.01M |
| October Road, INC. | Mars Hill, NC | $10.82M |
| Pyramid Healthcare INC. | East Stroudsburg, PA | $10.38M |
| Pyramid Healthcare INC. | Langhorne, PA | $8.62M |
| Pyrmaid Healthcare INC. | York, PA | $8.19M |
| Pyramid Healthcare INC | Gibsonia, PA | $8.17M |
| Pyramid Healthcare, INC. | Radford, VA | $7.68M |
| Pyramid Walden, LLC | California, MD | $4.79M |
| Pyramid Healthcare INC. | Quakertown, PA | $4.16M |
| October Road, INC. | Asheville, NC | $3.63M |
| Pyramid Healthcare INC. | Tyrone, PA | $3.47M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.