Medicaid Provider Spending

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

MERAKEY PENNSYLVANIA

NPI: 1669641775 · BETHLEHEM, PA 18017 · Community/Behavioral Health Agency · NPI assigned 02/22/2008

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

100% 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

$1.69M
Total Medicaid Paid
7,072
Total Claims
1,025
Beneficiaries
2
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTILSON, NORMAN (CORP SR. DIRECTOR OF BUSINESS OPS)
NPI Enumeration Date02/22/2008

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 STROUDSBURG PA $4.06M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 615 $1K
2021 1,692 $153K
2022 1,637 $464K
2023 1,489 $484K
2024 1,639 $585K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 7,057 1,013 $1.68M
T1016 Case management, each 15 minutes 15 12 $4K