PLEA
NPI: 1740371962
· PITTSBURGH, PA 15221
· Mental Health Counselor
· NPI assigned 09/27/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H0035 with only 1 total codes billed. Highly concentrated billing profile.
$3.23M
Total Medicaid Paid
Provider Details
| Authorized Official | DYMOND, RUTH (FINANCIAL DIRECTOR) |
| NPI Enumeration Date | 09/27/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
309 |
$50K |
| 2021 |
1,468 |
$237K |
| 2022 |
4,645 |
$840K |
| 2023 |
5,815 |
$1.23M |
| 2024 |
3,842 |
$878K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
16,079 |
1,230 |
$3.23M |