Medicaid Provider Spending

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

PYRAMID HEALTHCARE INC.

NPI: 1629352927 · ALLENTOWN, PA 18104 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 10/05/2011

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

Authorized official HENDRICKS, JASON controls 20+ related entities in our dataset. Read more

$11.01M
Total Medicaid Paid
116,627
Total Claims
39,549
Beneficiaries
16
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHENDRICKS, JASON (CEO)
NPI Enumeration Date10/05/2011

Related Entities

Other providers sharing the same authorized official: HENDRICKS, JASON

ProviderCityStateTotal Paid
PYRAMID HEALTH CARE INC. WILKINSBURG PA $128.75M
PYRAMID HEALTHCARE BELLEVILLE PA $87.33M
PYRAMID HEALTHCARE, INC. NEWPORT NEWS VA $40.65M
PYRAMID WALDEN LLC CHARLOTTE HALL MD $27.53M
OCTOBER ROAD INC. ASHEVILLE NC $24.64M
PYRAMID HEALTH CARE INC. DUNCANSVILLE PA $23.92M
MOUNTAINEER BEHAVIORAL HEALTH KEARNEYSVILLE WV $20.46M
PYRAMID WALDEN, LLC JOPPA MD $16.70M
PYRAMID HEALTHCARE INC. ALTOONA PA $14.30M
PYRAMID HEALTHCARE INC. ALTOONA PA $13.25M
OCTOBER ROAD, INC. MARS HILL NC $10.82M
PYRAMID HEALTHCARE INC. EAST STROUDSBURG PA $10.38M
PYRAMID HEALTHCARE INC. LANGHORNE PA $8.62M
PYRMAID HEALTHCARE INC. YORK PA $8.19M
PYRAMID HEALTHCARE INC GIBSONIA PA $8.17M
PYRAMID HEALTHCARE, INC. RADFORD VA $7.68M
PYRAMID WALDEN, LLC CALIFORNIA MD $4.79M
PYRAMID HEALTHCARE INC. QUAKERTOWN PA $4.16M
OCTOBER ROAD, INC. ASHEVILLE NC $3.63M
PYRAMID HEALTHCARE INC. TYRONE PA $3.47M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 9,767 $403K
2021 32,316 $1.97M
2022 31,198 $3.28M
2023 22,934 $2.68M
2024 20,412 $2.69M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 62,933 10,749 $6.78M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 6,408 809 $1.16M
H2035 Alcohol and/or other drug treatment program, per hour 4,953 632 $770K
90834 Psychotherapy, 45 minutes with patient 11,545 6,718 $634K
90792 Psychiatric diagnostic evaluation with medical services 3,733 3,477 $453K
90853 Group psychotherapy (other than of a multiple-family group) 7,386 3,588 $374K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 9,179 6,696 $340K
H0047 Alcohol and/or other drug abuse services, not otherwise specified 4,828 2,166 $245K
90837 Psychotherapy, 53 minutes with patient 1,462 1,242 $144K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 673 584 $44K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 485 446 $25K
90832 Psychotherapy, 30 minutes with patient 893 676 $21K
H0014 Alcohol and/or drug services; ambulatory detoxification 2,046 1,687 $16K
H0038 Self-help/peer services, per 15 minutes 60 37 $4K
H0034 Medication training and support, per 15 minutes 29 29 $914.66
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14 13 $883.71