Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Wilkes Barre › NPI 1609090893
Agency

Children's Service Center of Wyoming Valley

Children's Service Center of Wyoming Valley was paid $4.68M by Medicaid between Sep 2020 and Dec 2024, across 2 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 93% of everything it billed.

33Billing provider infoCHILDREN'S SERVICE CENTER OF WYOMING VALLEY
WILKES BARRE, PA 18702
33aNPI1609090893assigned 04/12/2007
28Total paid$4.68M
24GClaims20,326
24DCodes billed2
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in Pennsylvania

Rank by total paid#118 of 517
Median peer was paid$1.23M
This provider vs. median3.8×

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 Concentration93% of spending on code H0004 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20201,830$308K
20216,752$1.25M
20225,026$1.12M
20233,748$1.07M
2024incomplete2,970$930K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0004 Behavioral health counseling and therapy, per 15 minutes 93% 17,009 2,853 $4.34M
T1016 Case management, each 15 minutes 7.2% 3,317 1,380 $338K

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.

From NPPES

Who's on the registration

Authorized officialSIMMONS, BARRY (VP FINANCE)
Same official

Other billing entities under SIMMONS, BARRY

Full network →
ProviderLocationPaid
Children's Service CenterWilkes Barre, PA$26.00M
Children's Service Center of Wyoming ValleyWilkes Barre, PA$18.65M
Children's Service Center of Wyoming ValleyWilkes Barre, PA$1.48M
Children's Service Center of Wyoming ValleyWilkes Barre, PA$1.03M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.