Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Gaudenzia INC

Gaudenzia INC was paid $5.33M by Medicaid between Oct 2020 and Dec 2024, across 4 billing codes. Its largest line is H2036, Alcohol and/or other drug treatment program, per diem — 41% of everything it billed.

33Billing provider infoGAUDENZIA INC
BRISTOL, PA 19007
33aNPI1811392053assigned 10/30/2014
28Total paid$5.33M
24GClaims20,156
24DCodes billed4
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Pennsylvania

Rank by total paid#33 of 89
Median peer was paid$2.74M
This provider vs. median1.9×

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 WILLIAMS, MIKE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
20201,102$258K
20215,530$1.31M
20224,190$1.43M
20234,790$1.25M
2024incomplete4,544$1.08M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2036 Alcohol and/or other drug treatment program, per diem 41% 7,391 567 $2.17M
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 33% 6,967 559 $1.76M
H0013 Alcohol and/or drug services; acute detoxification (residential addiction program outpatient) 19% 2,759 682 $998K
H0001 Alcohol and/or drug assessment 7.5% 3,039 2,852 $398K

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 officialWILLIAMS, MIKE (SR. CONTRACTING MANAGER)
Same official

Other billing entities under WILLIAMS, MIKE

Full network →
ProviderLocationPaid
Gaudenzia INCErie, PA$39.98M
Gaudenzia INCBaltimore, MD$21.36M
Gaudenzia INCWest Chester, PA$18.43M
Gaudenzia, INC.Philadelphia, PA$12.11M
Gaudenzia INCOwings Mills, MD$9.28M
Gaudenzia INCPhiladelphia, PA$9.02M
Gaudenzia INCPhiladelphia, PA$8.50M
Gaudenzia INCHarrisburg, PA$8.49M
GaudenziaHarrisburg, PA$6.89M
Gaudenzia INCPhiladelphia, PA$4.64M
Gaudenzia, INC.Philadelphia, PA$2.60M
GaudenziaPhiladelphia, PA$1.55M
Gaudenzia, INC.Norristown, PA$1.13M
Gaudenzia INCHarrisburg, PA$882K
Gaudenzia INCPhiladelphia, PA$873K
Gaudenzia INCAshland, PA$763K
Gaudenzia INCMechanicsburg, PA$613K
Gaudenzia INCWilmington, DE$464K
GaudenziaMc Connellsburg, PA$150K
Gaudenzia INC.Coatesville, PA$105K

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