Medicaid Provider Spending

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

MERAKEY PENNSYLVANIA

NPI: 1649478876 · STROUDSBURG, PA 18360 · Community/Behavioral Health Agency · NPI assigned 07/10/2007

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

94% of spending on code H0004 with only 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official TILSON, NORMAN controls 20+ related entities in our dataset. Read more

$4.06M
Total Medicaid Paid
15,743
Total Claims
2,783
Beneficiaries
2
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTILSON, NORMAN (CORP SR. DIRECTOR OF BUSINESS OPS)
NPI Enumeration Date07/10/2007

Related Entities

Other providers sharing the same authorized official: TILSON, NORMAN

ProviderCityStateTotal Paid
MERAKEY ALLOS RICHMOND VA $22.48M
MERAKEY PENNSYLVANIA HUNTINGDON PA $17.43M
MERAKEY PENNSYLVANIA HARRISBURG PA $13.08M
MERAKEY PARKSIDE RECOVERY PHILADELPHIA PA $11.85M
MERAKEY PARKSIDE RECOVERY PHILADELPHIA PA $6.05M
MERAKEY PHILADELPHIA PHILADELPHIA PA $5.10M
MERAKEY MONTGOMERY COUNTY COLMAR PA $5.03M
MERAKEY MONTGOMERY COUNTY LANSDALE PA $5.02M
MERAKEY DELAWARE COUNTY SHARON HILL PA $4.99M
MERAKEY PENNSYLVANIA STROUDSBURG PA $4.80M
MERAKEY PENNSYLVANIA BETHLEHEM PA $4.01M
MERAKEY MONTGOMERY COUNTY LANSDALE PA $3.86M
MERAKEY BUCKS COUNTY WARMINSTER PA $3.63M
MERAKEY BUCKS COUNTY WARMINSTER PA $2.89M
NHS STEVENS CENTER CARLISLE PA $2.86M
MERAKEY DELAWARE COUNTY SHARON HILL PA $2.77M
MERAKEY PHILADELPHIA PHILADELPHIA PA $2.63M
MERAKEY CHILDRENS SERVICES PHILADELPHIA PA $2.13M
MERAKEY CHESTER COUNTY KENNETT SQUARE PA $1.96M
MERAKEY PENNSYLVANIA HARRISBURG PA $1.77M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,088 $332K
2021 6,284 $1.14M
2022 3,823 $1.10M
2023 2,142 $871K
2024 1,406 $618K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 13,773 1,978 $3.81M
T1016 Case management, each 15 minutes 1,970 805 $257K