Endress, Nicole

Endress, Nicole was paid $1.34M by Medicaid between Sep 2020 and Dec 2024, across 1 billing code. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 100% of everything it billed.

33Billing provider infoENDRESS, NICOLE
HUNTINGDON, PA 16652

33aNPI1558725960assigned 04/12/2016

33bProvider typeProfessional Counselor

28Total paid$1.34M

24GClaims14,104

24DCodes billed1

24AFirst – last monthSep 2020 – Dec 2024

Compared with peers

Next to other Professional Counselor providers in Pennsylvania

Rank by total paid#15 of 414

Median peer was paid$61K

This provider vs. median22×

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.

Single-Code Concentration100% of spending on code H0004 with only 1 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0004	Behavioral health counseling and therapy, per 15 minutes	100%	14,104	4,297	$1.34M

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.