Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Community Guidance Center

Community Guidance Center was paid $3.27M by Medicaid between Sep 2020 and Nov 2024, across 2 billing codes. Its largest line is H0004, Behavioral health counseling and therapy, per 15 minutes — 99% of everything it billed.

33Billing provider infoCOMMUNITY GUIDANCE CENTER
INDIANA, PA 15701
33aNPI1730200189assigned 04/03/2007
28Total paid$3.27M
24GClaims11,215
24DCodes billed2
24AFirst – last monthSep 2020 – Nov 2024
Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Pennsylvania

Rank by total paid#37 of 121
Median peer was paid$1.18M
This provider vs. median2.8×

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.

Single-Code Concentration99% of spending on code H0004 with only 2 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official MIKULA, DARRIN controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
20201,132$219K
20213,980$970K
20222,047$614K
20232,004$705K
2024incomplete2,052$760K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0004 Behavioral health counseling and therapy, per 15 minutes 99% 11,031 1,750 $3.24M
T1016 Case management, each 15 minutes <1% 184 128 $25K

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 officialMIKULA, DARRIN (CFO)
Same official

Other billing entities under MIKULA, DARRIN

Full network →
ProviderLocationPaid
Community Guidance CenterIndiana, PA$10.79M
Community Guidance CenterIndiana, PA$5.38M
Community Guidance CenterIndiana, PA$5.05M
Community Guidance CenterIndiana, PA$1.72M
Community Guidance CenterIndiana, PA$1.59M
Community Guidance CenterIndiana, PA$1.30M
Community Guidance CenterClearfield, PA$1.13M
Community Guidance CenterIndiana, PA$607K
Community Guidance CenterIndiana, PA$493K
Community Guidance CenterClearfield, PA$104K
Community Guidance CenterPunxsutawney, PA$24K

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