Medicaid Provider Spending

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

PYRAMID HEALTHCARE INC.

NPI: 1689796286 · ALTOONA, PA 16601 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 04/04/2007

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

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

$13.25M
Total Medicaid Paid
282,403
Total Claims
58,286
Beneficiaries
16
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHENDRICKS, JASON (CEO)
NPI Enumeration Date04/04/2007

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. 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 32,350 $1.16M
2021 117,876 $4.07M
2022 61,010 $2.95M
2023 37,328 $2.55M
2024 33,839 $2.52M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 33,763 8,805 $3.87M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 187,318 8,126 $2.73M
90853 Group psychotherapy (other than of a multiple-family group) 21,616 9,068 $2.02M
90834 Psychotherapy, 45 minutes with patient 13,852 10,697 $1.55M
H0001 Alcohol and/or drug assessment 4,779 4,714 $804K
H0034 Medication training and support, per 15 minutes 4,924 3,805 $524K
90837 Psychotherapy, 53 minutes with patient 2,857 2,646 $389K
90792 Psychiatric diagnostic evaluation with medical services 1,631 1,560 $381K
H0038 Self-help/peer services, per 15 minutes 2,794 1,218 $297K
90832 Psychotherapy, 30 minutes with patient 3,684 3,247 $198K
G9012 Other specified case management service not elsewhere classified 599 584 $160K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,140 949 $108K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 945 864 $102K
H0047 Alcohol and/or other drug abuse services, not otherwise specified 1,012 592 $79K
99407 1,190 1,177 $30K
H0014 Alcohol and/or drug services; ambulatory detoxification 299 234 $2K