Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › PHILA › HALL-MERCER CMH-MRC OF PA HOSP

HALL-MERCER CMH-MRC OF PA HOSP

NPI: 1649323932 · PHILA, PA 19104 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 01/19/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code T1017 with only 1 total codes billed. Highly concentrated billing profile.

$6.82M
Total Medicaid Paid
71,915
Total Claims
23,545
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCCORMICK, THOMAS (ASSISTANT VICE PRESIDENT)
NPI Enumeration Date01/19/2007

Related Entities

Other providers sharing the same authorized official: MCCORMICK, THOMAS

ProviderCityStateTotal Paid
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA PHILADELPHIA PA $84.02M
THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS PHILA PA $25.68M
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S PHILADELPHIA PA $23.27M
HALL-MERCER CMH-MRC OF PENNSYLVANIA HOSP PHILADELPHIA PA $14.08M
HOSPITAL OF UNIVERSITY OF PENNSYLVANIA PHILA PA $2.61M
PENN PRESBYTERIAN MEDICAL CTR DETOX REHAB PHILA PA $1.60M
PENN PRESYBYTERIAN MEDICAL CENTER PHILA PA $1.48M
THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS PHILADELPHIA PA $69K
THOMAS E MCCORMICK, MD, PC RUTLAND VT $22K
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S PHILADELPHIA PA $11K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 975 $25K
2020 4,612 $806.80
2021 19,382 $1K
2022 17,451 $2.30M
2023 16,168 $2.39M
2024 13,327 $2.11M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1017 Targeted case management, each 15 minutes 71,915 23,545 $6.82M