Medicaid Provider Spending

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

MERAKEY PENNSYLVANIA

NPI: 1740789312 · MONROE, LA 71201 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 02/08/2018

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

100% of spending on code H0039 with only 3 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official TILSON, NORMAN controls 20+ related entities in our dataset. Read more

$5.28M
Total Medicaid Paid
6,920
Total Claims
4,769
Beneficiaries
3
Codes Billed
2019-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTILSON, NORMAN (CORP SR. DIRECTOR OF BUS OPS)
NPI Enumeration Date02/08/2018

Related Entities

Other providers sharing the same authorized official: TILSON, NORMAN

ProviderCityStateTotal Paid
MERAKEY ALLOS RICHMOND VA $22.48M
MERAKEY PENNSYLVANIA HUNTINGDON PA $17.43M
MERAKEY PENNSYLVANIA HARRISBURG PA $13.08M
MERAKEY PARKSIDE RECOVERY PHILADELPHIA PA $11.85M
MERAKEY PARKSIDE RECOVERY PHILADELPHIA PA $6.05M
MERAKEY PHILADELPHIA PHILADELPHIA PA $5.10M
MERAKEY MONTGOMERY COUNTY COLMAR PA $5.03M
MERAKEY MONTGOMERY COUNTY LANSDALE PA $5.02M
MERAKEY DELAWARE COUNTY SHARON HILL PA $4.99M
MERAKEY PENNSYLVANIA STROUDSBURG PA $4.80M
MERAKEY PENNSYLVANIA STROUDSBURG PA $4.06M
MERAKEY PENNSYLVANIA BETHLEHEM PA $4.01M
MERAKEY MONTGOMERY COUNTY LANSDALE PA $3.86M
MERAKEY BUCKS COUNTY WARMINSTER PA $3.63M
MERAKEY BUCKS COUNTY WARMINSTER PA $2.89M
NHS STEVENS CENTER CARLISLE PA $2.86M
MERAKEY DELAWARE COUNTY SHARON HILL PA $2.77M
MERAKEY PHILADELPHIA PHILADELPHIA PA $2.63M
MERAKEY CHILDRENS SERVICES PHILADELPHIA PA $2.13M
MERAKEY CHESTER COUNTY KENNETT SQUARE PA $1.96M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 809 $497K
2020 1,819 $956K
2021 1,270 $931K
2022 737 $694K
2023 974 $973K
2024 1,311 $1.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0039 Assertive community treatment, face-to-face, per 15 minutes 6,836 4,720 $5.27M
90791 Psychiatric diagnostic evaluation 33 29 $2K
98960 51 20 $0.00