Agency
Fayette County Mental Health Mental Retardation Program
Fayette County Mental Health Mental Retardation Program was paid $12.06M by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is W7210, State-specific procedure code — 59% of everything it billed.
33Billing provider infoFAYETTE COUNTY MENTAL HEALTH MENTAL RETARDATION PROGRAM
UNIONTOWN, PA 15401
UNIONTOWN, PA 15401
33aNPI1639202534assigned 03/13/2007
33bProvider typeCase Management Agency
28Total paid$12.06M
24GClaims155,428
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in Pennsylvania
Rank by total paid#40 of 206
Median peer was paid$2.13M
This provider vs. median5.7×
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 | 23,269 | $1.83M | |
| 2019 | 22,343 | $1.84M | |
| 2020 | 26,106 | $1.89M | |
| 2021 | 22,850 | $1.69M | |
| 2022 | 21,310 | $1.74M | |
| 2023 | 22,534 | $1.76M | |
| 2024incomplete | 17,016 | $1.31M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| W7210 | State-specific procedure code | 59% | 96,159 | 25,818 | $7.13M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 24% | 31,694 | 11,447 | $2.92M |
| T1016 | Case management, each 15 minutes | 12% | 20,123 | 10,303 | $1.49M |
| W0016 | 4.4% | 7,452 | 3,315 | $532K |
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 officialRIDER, DAVID (ADMINISTRATOR CEO)
| Provider | Location | Paid |
|---|---|---|
| Guadalupe Family Health, PA | Seguin, TX | $24K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.