Medicaid Provider Spending

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

COMMUNITY GUIDANCE CENTER

NPI: 1609862622 · INDIANA, PA 15701 · Community/Behavioral Health Agency · NPI assigned 09/26/2005

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

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

$10.79M
Total Medicaid Paid
114,223
Total Claims
82,186
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMIKULA, DARRIN (CFO)
NPI Enumeration Date09/26/2005

Related Entities

Other providers sharing the same authorized official: MIKULA, DARRIN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 23,713 $2.61M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90834 Psychotherapy, 45 minutes with patient 39,082 25,329 $3.80M
90837 Psychotherapy, 53 minutes with patient 23,368 15,115 $2.85M
90832 Psychotherapy, 30 minutes with patient 22,311 16,671 $1.12M
H0034 Medication training and support, per 15 minutes 7,911 7,026 $906K
90792 Psychiatric diagnostic evaluation with medical services 4,333 4,076 $616K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 5,270 4,969 $433K
99201 2,589 2,414 $253K
99241 2,561 2,446 $251K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,306 2,172 $238K
90853 Group psychotherapy (other than of a multiple-family group) 2,930 1,024 $141K
H0046 Mental health services, not otherwise specified 635 170 $100K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 470 452 $38K
90847 Family psychotherapy with the patient present, 50 minutes 359 253 $26K
96131 37 26 $5K
96130 61 43 $4K