Medicaid Provider Spending

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

NPI: 1558725960 · HUNTINGDON, PA 16652 · Professional Counselor · NPI assigned 04/12/2016

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

100% of spending on code H0004 with only 1 total codes billed. Highly concentrated billing profile.

$1.34M
Total Medicaid Paid
14,104
Total Claims
4,297
Beneficiaries
1
Codes Billed
2020-09
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 614 $49K
2021 2,329 $194K
2022 2,909 $258K
2023 4,203 $418K
2024 4,049 $417K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 14,104 4,297 $1.34M