Residential
Carbon - Monroe - Pike Drug & Alcohol Commission, INC
Carbon - Monroe - Pike Drug & Alcohol Commission, INC was paid $1.61M by Medicaid between Aug 2020 and Dec 2024, across 8 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 50% of everything it billed.
33Billing provider infoCARBON - MONROE - PIKE DRUG & ALCOHOL COMMISSION, INC
LEHIGHTON, PA 18235
LEHIGHTON, PA 18235
33aNPI1619947348assigned 01/25/2006
33bProvider typeSubstance Abuse Rehabilitation Facility
28Total paid$1.61M
24GClaims15,589
24DCodes billed8
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Substance Abuse Rehabilitation Facility providers in Pennsylvania
Rank by total paid#55 of 68
Median peer was paid$5.00M
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2020 | 1,596 | $125K | |
| 2021 | 3,706 | $344K | |
| 2022 | 4,421 | $475K | |
| 2023 | 3,094 | $337K | |
| 2024incomplete | 2,772 | $326K |
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 | 50% | 7,509 | 4,311 | $801K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 18% | 2,341 | 726 | $289K |
| H0001 | Alcohol and/or drug assessment | 9.4% | 1,506 | 1,462 | $151K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 8.3% | 1,114 | 243 | $133K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 7.7% | 899 | 883 | $123K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.9% | 1,235 | 974 | $62K |
| H0006 | Alcohol and/or drug services; case management | 3.0% | 967 | 641 | $48K |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | <1% | 18 | 13 | $465.00 |
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 officialDRAKE, JAMIE (EXECUTIVE DIRECTOR)