Community Guidance Center

Community Guidance Center was paid $10.79M by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 35% of everything it billed.

33Billing provider infoCOMMUNITY GUIDANCE CENTER
INDIANA, PA 15701

33aNPI1609862622assigned 09/26/2005

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$10.79M

24GClaims114,223

24DCodes billed15

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Community/Behavioral Health Agency providers in Pennsylvania

Rank by total paid#53 of 517

Median peer was paid$1.23M

This provider vs. median8.7×

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.

Entity ProliferationAuthorized official MIKULA, DARRIN controls 11+ related entities in our dataset. Read more

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
2018	145	$11K
2019	231	$16K
2020	7,049	$542K
2021	26,737	$2.21M
2022	27,232	$2.46M
2023	29,116	$2.94M
2024incomplete	23,713	$2.61M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	35%	39,082	25,329	$3.80M
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	26%	23,368	15,115	$2.85M
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	10%	22,311	16,671	$1.12M
H0034	Medication training and support, per 15 minutes	8.4%	7,911	7,026	$906K
90792	Psychiatric diagnostic evaluation with medical services	5.7%	4,333	4,076	$616K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	4.0%	5,270	4,969	$433K
99201		2.3%	2,589	2,414	$253K
99241		2.3%	2,561	2,446	$251K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	2.2%	2,306	2,172	$238K
90853	Group psychotherapy (other than of a multiple-family group)	1.3%	2,930	1,024	$141K
H0046	Mental health services, not otherwise specified	<1%	635	170	$100K
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%	470	452	$38K

3 more codes

90847	Family psychotherapy with the patient present, 50 minutes	<1%	359	$26K
96131		<1%	37	$5K
96130		<1%	61	$4K

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 officialMIKULA, DARRIN (CFO)

Same official

Other billing entities under MIKULA, DARRIN

Full network →

Provider	Location	Paid
Community Guidance Center	Indiana, PA	$5.38M
Community Guidance Center	Indiana, PA	$5.05M
Community Guidance Center	Indiana, PA	$3.27M
Community Guidance Center	Indiana, PA	$1.72M
Community Guidance Center	Indiana, PA	$1.59M
Community Guidance Center	Indiana, PA	$1.30M
Community Guidance Center	Clearfield, PA	$1.13M
Community Guidance Center	Indiana, PA	$607K
Community Guidance Center	Indiana, PA	$493K
Community Guidance Center	Clearfield, PA	$104K
Community Guidance Center	Punxsutawney, PA	$24K

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