Medicaid Provider Spending

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

NORTHEAST FAMILY HEALTH CARE, LLC

NPI: 1609153675 · QUAKERTOWN, PA 18951 · Methadone Clinic · NPI assigned 11/04/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TANIS, ROBYN controls 20+ related entities in our dataset. Read more

$7.84M
Total Medicaid Paid
370,406
Total Claims
43,074
Beneficiaries
13
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTANIS, ROBYN (EXECUTIVE DIRECTOR OF CONTRACT MGMT)
NPI Enumeration Date11/04/2011

Related Entities

Other providers sharing the same authorized official: TANIS, ROBYN

ProviderCityStateTotal Paid
PINNACLE TREATMENT CENTERS OH-I, LLC COLUMBUS OH $95.47M
PINNACLETREATMENT CENTERS IN-1, LLC CAMBRIDGE CITY IN $62.48M
PINNACLE TREATMENT CENTERS NJ-III, LLC PENNSAUKEN NJ $56.33M
PINNACLE TREATMENT CENTERS IN-1, LLC D/B/A RECOVERY WORKS MERRILLVILLE MERRILLVILLE IN $43.07M
PINNACLE TREATMENT CENTERS KY-1, LLC ELIZABETHTOWN KY $33.62M
PINNACLE TREATMENT CENTERS KY-I, LLC LONDON KY $33.44M
PINNACLE TREATMENT CENTERS KY-I, LLC GEORGETOWN KY $30.87M
PULASKI MEDICAL, LLC PULASKI VA $28.41M
NKY MED, LLC COVINGTON KY $24.36M
PINNACLE TREATMENT CENTERS KY-1, LLC D/B/A RECOVERY WORKS GREENUP SOUTH SHORE KY $23.45M
PINNACLE TREATMENT CENTERS KY-I, LLC GEORGETOWN KY $23.37M
LEESBURG TREATMENT SERVICES, LLC NORTH CHESTERFIELD VA $22.29M
PINNACLE TREATMENT CENTERS, LLC D/B/A RECOVERY WORKS PADUCAH MAYFIELD KY $17.66M
PENNSYLVANIA CARE, LLC ASHLEY PA $16.60M
PINNACLE TREATMENT CENTERS VA-I, LLC RICHMOND VA $16.40M
PINNACLE TREATMENT CENTERS VA-I, LLC FREDERICKSBURG VA $15.63M
PINNACLE TREATMENT SERVICES OF ROANOKE, LLC ROANOKE VA $14.22M
PINNACLE TREATMENT CENTERS PA-III, LLC JOHNSTOWN PA $13.40M
PINNACLE TREATMENT CENTERS NJ III LLC VINELAND NJ $10.84M
OCEAN MONMOUTH CARE, LLC BRICK NJ $10.80M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 15,434 $162K
2021 77,867 $1.12M
2022 84,002 $1.41M
2023 104,991 $2.71M
2024 88,112 $2.45M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 320,401 13,797 $2.89M
G9012 Other specified case management service not elsewhere classified 7,371 7,165 $1.95M
T1015 Clinic visit/encounter, all-inclusive 18,320 5,252 $1.83M
90832 Psychotherapy, 30 minutes with patient 11,032 7,067 $367K
90837 Psychotherapy, 53 minutes with patient 3,075 2,266 $256K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,306 1,600 $169K
90834 Psychotherapy, 45 minutes with patient 2,211 1,852 $148K
H0034 Medication training and support, per 15 minutes 1,007 799 $69K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,226 922 $65K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,715 1,129 $47K
90853 Group psychotherapy (other than of a multiple-family group) 1,503 988 $34K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 86 86 $6K
99215 Prolong outpt/office vis 153 151 $6K