Behavioral
The ARC, Fayette County
The ARC, Fayette County was paid $496K by Medicaid between Jan 2018 and Feb 2024, across 3 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 57% of everything it billed.
33Billing provider infoTHE ARC, FAYETTE COUNTY
UNIONTOWN, PA 15401
UNIONTOWN, PA 15401
33aNPI1609961283assigned 10/03/2006
33bProvider typeSocial Worker
28Total paid$496K
24GClaims3,903
24DCodes billed3
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Social Worker providers in Pennsylvania
Rank by total paid#12 of 218
Median peer was paid$51K
This provider vs. median9.7×
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.
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 | 1,170 | $144K | |
| 2019 | 799 | $102K | |
| 2020 | 153 | $20K | |
| 2021 | 405 | $46K | |
| 2022 | 579 | $76K | |
| 2023 | 706 | $96K | |
| 2024incomplete | 91 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 57% | 2,256 | 759 | $284K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 39% | 1,497 | 534 | $193K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 3.8% | 150 | 56 | $19K |
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 officialNINOS, THOMAS (EXECUTIVE DIRECTOR)