Community Guidance Center

Community Guidance Center was paid $5.05M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is W7210, State-specific procedure code — 88% of everything it billed.

33Billing provider infoCOMMUNITY GUIDANCE CENTER
INDIANA, PA 15701

33aNPI1811018278assigned 04/03/2007

33bProvider typeCase Management Agency

28Total paid$5.05M

24GClaims75,721

24DCodes billed2

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Case Management Agency providers in Pennsylvania

Rank by total paid#72 of 206

Median peer was paid$2.13M

This provider vs. median2.4×

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.

Entity ProliferationAuthorized official MIKULA, DARRIN controls 11+ related entities in our dataset. Read more

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
2018	10,962	$661K
2019	10,497	$649K
2020	10,694	$659K
2021	10,351	$663K
2022	10,854	$719K
2023	11,687	$860K
2024incomplete	10,676	$842K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
W7210	State-specific procedure code	88%	66,889	16,479	$4.43M
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	12%	8,832	3,157	$626K

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 →

Provider	Location	Paid
Community Guidance Center	Indiana, PA	$10.79M
Community Guidance Center	Indiana, PA	$5.38M
Community Guidance Center	Indiana, PA	$3.27M
Community Guidance Center	Indiana, PA	$1.72M
Community Guidance Center	Indiana, PA	$1.59M
Community Guidance Center	Indiana, PA	$1.30M
Community Guidance Center	Clearfield, PA	$1.13M
Community Guidance Center	Indiana, PA	$607K
Community Guidance Center	Indiana, PA	$493K
Community Guidance Center	Clearfield, PA	$104K
Community Guidance Center	Punxsutawney, PA	$24K

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