Medicaid Provider Spending

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

NPI: 1538370614 · BEDFORD, PA 15522 · Community/Behavioral Health Agency · NPI assigned 05/24/2007

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

100% of spending on code H0035 with only 1 total codes billed. Highly concentrated billing profile.

$1.40M
Total Medicaid Paid
10,472
Total Claims
804
Beneficiaries
1
Codes Billed
2020-09
First Month
2024-09
Last Month

Provider Details

Authorized OfficialNULTON, LARRY (CEO)
NPI Enumeration Date05/24/2007

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 JOHNSTOWN PA $3.55M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 422 $48K
2021 1,985 $237K
2022 3,494 $491K
2023 3,091 $412K
2024 1,480 $214K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0035 Mental health partial hospitalization, treatment, less than 24 hours 10,472 804 $1.40M