Pyramid Healthcare, INC.
Pyramid Healthcare, INC. was paid $40.65M by Medicaid between Jul 2021 and Dec 2024, across 8 billing codes. Its largest line is H0010, Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) — 81% of everything it billed.
NEWPORT NEWS, VA 23607
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Virginia
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 5,687 | $1.69M | |
| 2022 | 19,501 | $8.17M | |
| 2023 | 54,989 | $15.80M | |
| 2024incomplete | 51,192 | $15.00M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | 81% | 74,875 | 5,707 | $32.98M |
| H2036 | Alcohol and/or other drug treatment program, per diem | 7.2% | 7,235 | 1,681 | $2.92M |
| H2034 | Alcohol and/or drug abuse halfway house services, per diem | 6.0% | 42,129 | 1,020 | $2.44M |
| S0201 | Partial hospitalization services, less than 24 hours, per diem | 4.8% | 4,792 | 522 | $1.97M |
| 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 | <1% | 1,861 | 254 | $306K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 188 | 129 | $21K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 262 | 224 | $18K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 27 | 24 | $4K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Pyramid Health Care INC. | Wilkinsburg, PA | $128.75M |
| Pyramid Healthcare | Belleville, PA | $87.33M |
| 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 |
| Pyramid Healthcare INC. | Allentown, PA | $11.01M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.