Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COMMUNITY GUIDANCE CENTER

NPI: 1558482901 · INDIANA, PA 15701 · Case Management Agency · NPI assigned 04/03/2007

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

100% of spending on code T1017 with only 1 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official MIKULA, DARRIN controls 11+ related entities in our dataset. Read more

$1.30M
Total Medicaid Paid
10,497
Total Claims
5,818
Beneficiaries
1
Codes Billed
2020-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMIKULA, DARRIN (CFO)
NPI Enumeration Date04/03/2007

Related Entities

Other providers sharing the same authorized official: MIKULA, DARRIN

ProviderCityStateTotal Paid
COMMUNITY GUIDANCE CENTER INDIANA PA $10.79M
COMMUNITY GUIDANCE CENTER INDIANA PA $5.38M
COMMUNITY GUIDANCE CENTER INDIANA PA $5.05M
COMMUNITY GUIDANCE CENTER INDIANA PA $3.27M
COMMUNITY GUIDANCE CENTER INDIANA PA $1.72M
COMMUNITY GUIDANCE CENTER INDIANA PA $1.59M
COMMUNITY GUIDANCE CENTER CLEARFIELD PA $1.13M
COMMUNITY GUIDANCE CENTER INDIANA PA $607K
COMMUNITY GUIDANCE CENTER INDIANA PA $493K
COMMUNITY GUIDANCE CENTER CLEARFIELD PA $104K
COMMUNITY GUIDANCE CENTER PUNXSUTAWNEY PA $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 941 $82K
2021 3,217 $297K
2022 3,143 $402K
2023 2,138 $354K
2024 1,058 $166K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1017 Targeted case management, each 15 minutes 10,497 5,818 $1.30M