Medicaid Provider Spending

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

COMMUNITY GUIDANCE CENTER

NPI: 1669593018 · INDIANA, PA 15701 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 04/03/2007

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

100% of spending on code H0035 with only 1 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official MIKULA, DARRIN controls 11+ related entities in our dataset. Read more

$1.59M
Total Medicaid Paid
13,686
Total Claims
903
Beneficiaries
1
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMIKULA, DARRIN (CFO)
NPI Enumeration Date04/03/2007

Related Entities

Other providers sharing the same authorized official: MIKULA, DARRIN

ProviderCityStateTotal Paid
COMMUNITY GUIDANCE CENTER INDIANA PA $10.79M
COMMUNITY GUIDANCE CENTER INDIANA PA $5.38M
COMMUNITY GUIDANCE CENTER INDIANA PA $5.05M
COMMUNITY GUIDANCE CENTER INDIANA PA $3.27M
COMMUNITY GUIDANCE CENTER INDIANA PA $1.72M
COMMUNITY GUIDANCE CENTER INDIANA PA $1.30M
COMMUNITY GUIDANCE CENTER CLEARFIELD PA $1.13M
COMMUNITY GUIDANCE CENTER INDIANA PA $607K
COMMUNITY GUIDANCE CENTER INDIANA PA $493K
COMMUNITY GUIDANCE CENTER CLEARFIELD PA $104K
COMMUNITY GUIDANCE CENTER PUNXSUTAWNEY PA $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 910 $70K
2021 4,183 $400K
2022 3,289 $365K
2023 2,468 $307K
2024 2,836 $444K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0035 Mental health partial hospitalization, treatment, less than 24 hours 13,686 903 $1.59M