Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Gaudenzia INC

Gaudenzia INC was paid $18.43M by Medicaid between Sep 2020 and Dec 2024, across 3 billing codes. Its largest line is T2048, Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem — 41% of everything it billed.

33Billing provider infoGAUDENZIA INC
WEST CHESTER, PA 19382
33aNPI1689708513assigned 03/15/2007
28Total paid$18.43M
24GClaims52,544
24DCodes billed3
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in Pennsylvania

Rank by total paid#26 of 517
Median peer was paid$1.23M
This provider vs. median15×

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.

Entity ProliferationAuthorized official WILLIAMS, MIKE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20205,095$1.82M
202117,862$6.19M
20229,962$5.42M
202310,563$2.63M
2024incomplete9,062$2.36M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2048 Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem 41% 20,018 2,033 $7.58M
H2036 Alcohol and/or other drug treatment program, per diem 33% 23,572 1,353 $6.01M
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 26% 8,954 1,527 $4.83M

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.

From NPPES

Who's on the registration

Authorized officialWILLIAMS, MIKE (SR. CONTRACT MANAGER)
Same official

Other billing entities under WILLIAMS, MIKE

Full network →
ProviderLocationPaid
Gaudenzia INCErie, PA$39.98M
Gaudenzia INCBaltimore, MD$21.36M
Gaudenzia, INC.Philadelphia, PA$12.11M
Gaudenzia INCOwings Mills, MD$9.28M
Gaudenzia INCPhiladelphia, PA$9.02M
Gaudenzia INCPhiladelphia, PA$8.50M
Gaudenzia INCHarrisburg, PA$8.49M
GaudenziaHarrisburg, PA$6.89M
Gaudenzia INCBristol, PA$5.33M
Gaudenzia INCPhiladelphia, PA$4.64M
Gaudenzia, INC.Philadelphia, PA$2.60M
GaudenziaPhiladelphia, PA$1.55M
Gaudenzia, INC.Norristown, PA$1.13M
Gaudenzia INCHarrisburg, PA$882K
Gaudenzia INCPhiladelphia, PA$873K
Gaudenzia INCAshland, PA$763K
Gaudenzia INCMechanicsburg, PA$613K
Gaudenzia INCWilmington, DE$464K
GaudenziaMc Connellsburg, PA$150K
Gaudenzia INC.Coatesville, PA$105K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.