Medicaid Provider Spending

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

PYRAMID HEALTHCARE INC

NPI: 1679974570 · WAYNESBORO, PA 17268 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 09/10/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HENDRICKS, JASON controls 20+ related entities in our dataset. Read more

$898K
Total Medicaid Paid
7,576
Total Claims
3,120
Beneficiaries
7
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHENDRICKS, JASON (CEO)
NPI Enumeration Date09/10/2014

Related Entities

Other providers sharing the same authorized official: HENDRICKS, JASON

ProviderCityStateTotal Paid
PYRAMID HEALTH CARE INC. WILKINSBURG PA $128.75M
PYRAMID HEALTHCARE BELLEVILLE PA $87.33M
PYRAMID HEALTHCARE, INC. NEWPORT NEWS VA $40.65M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 445 $49K
2021 2,516 $261K
2022 2,077 $247K
2023 1,545 $216K
2024 993 $125K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 3,807 719 $500K
90837 Psychotherapy, 53 minutes with patient 1,429 1,068 $200K
90853 Group psychotherapy (other than of a multiple-family group) 1,867 904 $159K
90834 Psychotherapy, 45 minutes with patient 205 200 $24K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 67 63 $5K
H0047 Alcohol and/or other drug abuse services, not otherwise specified 66 44 $5K
H0034 Medication training and support, per 15 minutes 135 122 $4K