Medicaid Provider Spending

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

COMMUNITY GUIDANCE CENTER

NPI: 1730200189 · INDIANA, PA 15701 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 04/03/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

99% of spending on code H0004 with only 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official MIKULA, DARRIN controls 11+ related entities in our dataset. Read more

$3.27M
Total Medicaid Paid
11,215
Total Claims
1,878
Beneficiaries
2
Codes Billed
2020-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMIKULA, DARRIN (CFO)
NPI Enumeration Date04/03/2007

Related Entities

Other providers sharing the same authorized official: MIKULA, DARRIN

ProviderCityStateTotal Paid
COMMUNITY GUIDANCE CENTER INDIANA PA $10.79M
COMMUNITY GUIDANCE CENTER INDIANA PA $5.38M
COMMUNITY GUIDANCE CENTER INDIANA PA $5.05M
COMMUNITY GUIDANCE CENTER INDIANA PA $1.72M
COMMUNITY GUIDANCE CENTER INDIANA PA $1.59M
COMMUNITY GUIDANCE CENTER INDIANA PA $1.30M
COMMUNITY GUIDANCE CENTER CLEARFIELD PA $1.13M
COMMUNITY GUIDANCE CENTER INDIANA PA $607K
COMMUNITY GUIDANCE CENTER INDIANA PA $493K
COMMUNITY GUIDANCE CENTER CLEARFIELD PA $104K
COMMUNITY GUIDANCE CENTER PUNXSUTAWNEY PA $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,132 $219K
2021 3,980 $970K
2022 2,047 $614K
2023 2,004 $705K
2024 2,052 $760K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 11,031 1,750 $3.24M
T1016 Case management, each 15 minutes 184 128 $25K