Northeast Family Health Care, LLC
Northeast Family Health Care, LLC was paid $7.84M by Medicaid between Oct 2020 and Dec 2024, across 13 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 37% of everything it billed.
QUAKERTOWN, PA 18951
Next to other Methadone Clinic providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 15,434 | $162K | |
| 2021 | 77,867 | $1.12M | |
| 2022 | 84,002 | $1.41M | |
| 2023 | 104,991 | $2.71M | |
| 2024incomplete | 88,112 | $2.45M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 37% | 320,401 | 13,797 | $2.89M |
| G9012 | Other specified case management service not elsewhere classified | 25% | 7,371 | 7,165 | $1.95M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 23% | 18,320 | 5,252 | $1.83M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.7% | 11,032 | 7,067 | $367K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.3% | 3,075 | 2,266 | $256K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 2,306 | 1,600 | $169K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.9% | 2,211 | 1,852 | $148K |
| H0034 | Medication training and support, per 15 minutes | <1% | 1,007 | 799 | $69K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,226 | 922 | $65K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,715 | 1,129 | $47K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,503 | 988 | $34K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 86 | 86 | $6K |
1 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 153 | $6K |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.