Medicaid Provider Spending

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

WEST PHILADELPHIA COMMUNITY MH CONSORTIUM, INC.

NPI: 1790804284 · PHILADELPHIA, PA 19139 · Adolescent and Children Mental Health Clinic/Center · NPI assigned 03/28/2007

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

98% of spending on code H0004 with only 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official WHITE, JOHN controls 11+ related entities in our dataset. Read more

$2.53M
Total Medicaid Paid
7,534
Total Claims
1,351
Beneficiaries
2
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWHITE, JOHN (PRESIDENT CEO)
NPI Enumeration Date03/28/2007

Related Entities

Other providers sharing the same authorized official: WHITE, JOHN

ProviderCityStateTotal Paid
WEST PHILADELPHIA COMMUNITY MH CONSORTIUM, INC. PHILADELPHIA PA $21.98M
WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC. PHILADELPHIA PA $5.14M
SHRINERS HOSPITALS FOR CHILDREN HONOLULU HI $2.82M
WEST PHILADELPHIA COMMUNITY MH CONSORTIUM, INC. PHILADELPHIA PA $2.10M
COUNTY OF MARICOPA SADDLE MOUNTAIN UNIFIED SCHOOL TONOPAH AZ $1.11M
WEST PHILADELPHIA COMMUNITY MH CONSORTIUM, INC. PHILADELPHIA PA $885K
WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC. PHILADELPHIA PA $728K
WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM, INC. PHILADELPHIA PA $17K
SERVICE REXALL DRUGS INC MENDENHALL MS $107.56
WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC. PHILADELPHIA PA $0.00
ANSWERED PRAYER HOME CARE SERVICES MONTGOMERY AL $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 347 $0.00
2021 1,592 $0.00
2022 2,180 $877K
2023 1,955 $935K
2024 1,460 $713K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 7,319 1,261 $2.48M
T1016 Case management, each 15 minutes 215 90 $48K