Medicaid Provider Spending

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

NPI: 1811977192 · PITTSBURGH, PA 15221 · Community/Behavioral Health Agency · NPI assigned 01/20/2006

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.

$2.62M
Total Medicaid Paid
26,749
Total Claims
1,568
Beneficiaries
1
Codes Billed
2020-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSHEPHERD, KAREN (PROGRAM OFFICER)
NPI Enumeration Date01/20/2006

Related Entities

Other providers sharing the same authorized official: SHEPHERD, KAREN

ProviderCityStateTotal Paid
EQUITAS HEALTH, INC COLUMBUS OH $3.40M
EQUITAS HEALTH, INC DAYTON OH $2.85M
HUGH F. BURNETT DDS. PA LITTLE ROCK AR $2.47M
EQUITAS HEALTH, INC COLUMBUS OH $1.78M
EQUITAS HEALTH, INC CINCINNATI OH $786K
EQUITAS HEALTH,INC COLUMBUS OH $416K
EQUITAS HEALTH, INC AKRON OH $66K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 3,308 $187K
2021 6,953 $496K
2022 6,378 $654K
2023 6,027 $682K
2024 4,083 $598K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0035 Mental health partial hospitalization, treatment, less than 24 hours 26,749 1,568 $2.62M