Behavioral
Plea
Plea was paid $3.23M by Medicaid between Oct 2020 and Jul 2024, across 1 billing code. Its largest line is H0035, Mental health partial hospitalization, treatment, less than 24 hours — 100% of everything it billed.
33Billing provider infoPLEA
PITTSBURGH, PA 15221
PITTSBURGH, PA 15221
33aNPI1740371962assigned 09/27/2006
33bProvider typeMental Health Counselor
28Total paid$3.23M
24GClaims16,079
24DCodes billed1
24AFirst – last monthOct 2020 – Jul 2024
Compared with peers
Next to other Mental Health Counselor providers in Pennsylvania
Rank by total paid#23 of 227
Median peer was paid$77K
This provider vs. median42×
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 Concentration100% of spending on code H0035 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 309 | $50K | |
| 2021 | 1,468 | $237K | |
| 2022 | 4,645 | $840K | |
| 2023 | 5,815 | $1.23M | |
| 2024incomplete | 3,842 | $878K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 100% | 16,079 | 1,230 | $3.23M |
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 officialDYMOND, RUTH (FINANCIAL DIRECTOR)