Agency
Centerville Clinics, INC.
Centerville Clinics, INC. was paid $5.18M by Medicaid between Jun 2020 and Dec 2024, across 44 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 50% of everything it billed.
33Billing provider infoCENTERVILLE CLINICS, INC.
WASHINGTON, PA 15301
WASHINGTON, PA 15301
33aNPI1619145760assigned 02/12/2008
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$5.18M
24GClaims69,180
24DCodes billed44
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Pennsylvania
Rank by total paid#111 of 517
Median peer was paid$1.23M
This provider vs. median4.2×
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 MARTOS, PATRICIA 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 | |
|---|---|---|---|
| 2020 | 9,566 | $163K | |
| 2021 | 22,963 | $963K | |
| 2022 | 21,569 | $1.52M | |
| 2023 | 8,327 | $1.35M | |
| 2024incomplete | 6,755 | $1.18M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 50% | 15,841 | 6,844 | $2.57M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 34% | 7,846 | 1,346 | $1.77M |
| T1016 | Case management, each 15 minutes | 15% | 7,028 | 1,315 | $763K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 1.1% | 670 | 657 | $56K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 662 | 649 | $16K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | <1% | 65 | 53 | $7K |
| 86769 | <1% | 15 | 15 | $171.92 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,245 | 3,236 | $19.63 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 1,661 | 1,654 | $17.42 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 5,118 | 5,023 | $15.44 |
| 82607 | <1% | 1,255 | 1,248 | $14.50 | |
| 80061 | Lipid panel | <1% | 4,375 | 4,360 | $13.68 |
32 more codes
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 0% | 322 | $0.00 |
| 86803 | 0% | 105 | $0.00 | |
| 83735 | 0% | 361 | $0.00 | |
| 83550 | 0% | 794 | $0.00 | |
| 84479 | 0% | 851 | $0.00 | |
| 81001 | 0% | 474 | $0.00 | |
| 84436 | 0% | 903 | $0.00 | |
| 3061F | 0% | 667 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 3,091 | $0.00 |
| 82043 | 0% | 875 | $0.00 | |
| 3052F | 0% | 80 | $0.00 | |
| 85651 | 0% | 76 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 854 | $0.00 |
| 82746 | 0% | 638 | $0.00 | |
| 3044F | 0% | 2,141 | $0.00 | |
| 3060F | 0% | 144 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 5,177 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 226 | $0.00 |
| 82728 | 0% | 199 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 12 | $0.00 |
| 80050 | General health panel | 0% | 24 | $0.00 |
| 80076 | 0% | 221 | $0.00 | |
| 84439 | 0% | 389 | $0.00 | |
| 3051F | 0% | 383 | $0.00 | |
| 3046F | 0% | 420 | $0.00 | |
| 83540 | 0% | 794 | $0.00 | |
| 85610 | 0% | 151 | $0.00 | |
| 82570 | 0% | 914 | $0.00 | |
| 80074 | 0% | 25 | $0.00 | |
| 83721 | 0% | 27 | $0.00 | |
| 84550 | 0% | 12 | $0.00 | |
| D1999 | 0% | 49 | $0.00 |
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 officialMARTOS, PATRICIA (DIRECTOR PERSONNEL AND FINANCE)
| Provider | Location | Paid |
|---|---|---|
| Centerville Clinics, INC. | Fredericktown, PA | $1.86M |
| Centerville Clinics, INC. | Washington, PA | $1.37M |
| Centerville Clinics, INC. | Claysville, PA | $1.27M |
| Centerville Clinics, INC. | Greensburg, PA | $1.05M |
| Centerville Clinics, INC, | Vestaburg, PA | $861K |
| Centerville Clinics, INC. | Charleroi, PA | $452K |
| Centerville Clinics, INC. | Fredericktown, PA | $26K |
| Centerville Clinics INC. | Washington, PA | $18K |
| Centerville Clinics, INC. | Fredericktown, PA | $14K |
| Centerville Clinics, INC. | Fredericktown, PA | $7K |
| Centerville Clinics, INC. | Fredericktown, PA | $3.51 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.