Pyramid Healthcare INC.
Pyramid Healthcare INC. was paid $13.25M by Medicaid between Sep 2020 and Dec 2024, across 16 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 29% of everything it billed.
ALTOONA, PA 16601
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 32,350 | $1.16M | |
| 2021 | 117,876 | $4.07M | |
| 2022 | 61,010 | $2.95M | |
| 2023 | 37,328 | $2.55M | |
| 2024incomplete | 33,839 | $2.52M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 29% | 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) | 21% | 187,318 | 8,126 | $2.73M |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 15% | 21,616 | 9,068 | $2.02M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 12% | 13,852 | 10,697 | $1.55M |
| H0001 | Alcohol and/or drug assessment | 6.1% | 4,779 | 4,714 | $804K |
| H0034 | Medication training and support, per 15 minutes | 4.0% | 4,924 | 3,805 | $524K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.9% | 2,857 | 2,646 | $389K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.9% | 1,631 | 1,560 | $381K |
| H0038 | Self-help/peer services, per 15 minutes | 2.2% | 2,794 | 1,218 | $297K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.5% | 3,684 | 3,247 | $198K |
| G9012 | Other specified case management service not elsewhere classified | 1.2% | 599 | 584 | $160K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,140 | 949 | $108K |
4 more codes
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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.