Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NH › Plymouth › NPI 1720281264
Agency

Mount Prospect Academy, INC.

Mount Prospect Academy, INC. was paid $76.55M by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is H0019, Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem — 88% of everything it billed.

33Billing provider infoMOUNT PROSPECT ACADEMY, INC.
PLYMOUTH, NH 03264
33aNPI1720281264assigned 06/11/2007
28Total paid$76.55M
24GClaims16,291
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in New Hampshire

Rank by total paid#2 of 27
Median peer was paid$3.72M
This provider vs. median21×

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.

Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M2018201920202021202220232024
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
20182,204$5.79M
20193,329$9.86M
20203,130$10.48M
20212,852$11.33M
20221,404$9.69M
20231,900$15.97M
2024incomplete1,472$13.42M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 88% 10,920 6,989 $67.01M
H0040 Assertive community treatment program, per diem 7.0% 2,753 1,901 $5.34M
H2022 Community-based wrap-around services, per diem 3.5% 1,117 898 $2.66M
99341 1.6% 1,223 879 $1.21M
T1025 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem <1% 278 222 $328K

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 officialWOLTER, JAY (PRESIDENT)
Same official

Other billing entities under WOLTER, JAY

Full network →
ProviderLocationPaid
Becket Academy INC.Belgrade, ME$41.96M
Becket Academy, INC.Hanover, NH$31.29M
Next Steps Community Services LLCBethlehem, NH$15.65M
Becket Academy, INC.Belgrade, ME$12.81M

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