Hospital
Butler Memorial Hospital
Butler Memorial Hospital was paid $379K by Medicaid between Nov 2020 and Apr 2024, across 5 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 52% of everything it billed.
33Billing provider infoBUTLER MEMORIAL HOSPITAL
BUTLER, PA 16001
BUTLER, PA 16001
33aNPI1821162314assigned 11/17/2006
33bProvider typeSubstance Use Disorder Rehabilitation Hospital Unit
28Total paid$379K
24GClaims6,049
24DCodes billed5
24AFirst – last monthNov 2020 – Apr 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Hospital Unit providers in Pennsylvania
Rank by total paid#5 of 6
Median peer was paid$744K
This provider vs. median0.5×
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 MADDEN, SCOTT controls 20+ 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 | |
|---|---|---|---|
| 2020 | 240 | $11K | |
| 2021 | 2,226 | $104K | |
| 2022 | 2,311 | $149K | |
| 2023 | 863 | $76K | |
| 2024incomplete | 409 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 52% | 1,732 | 944 | $195K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 37% | 2,510 | 373 | $140K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 11% | 1,772 | 626 | $42K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | <1% | 17 | 16 | $1K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 18 | 18 | $913.12 |
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 officialMADDEN, SCOTT (COO PHYSICIAN NETWORK)
| Provider | Location | Paid |
|---|---|---|
| Butler Healthcare Providers | Butler, PA | $10.40M |
| Clarion Hospital | Clarion, PA | $2.09M |
| Butler Healthcare Providers | Butler, PA | $1.47M |
| Clarion Hospital EMS | Clarion, PA | $1.01M |
| Butler Medical Providers | Butler, PA | $345K |
| Butler Medical Providers | Seneca, PA | $208K |
| Butler Medical Providers | Butler, PA | $77K |
| Butler Medical Providers | Butler, PA | $33K |
| Butler Medical Providers | Butler, PA | $32K |
| Butler Medical Providers | New Castle, PA | $32K |
| Butler Medical Providers | Butler, PA | $28K |
| Butler Medical Providers | New Castle, PA | $20K |
| Butler Medical Providers | Slippery Rock, PA | $12K |
| Butler Medical Providers | Butler, PA | $11K |
| Butler Medical Providers | Butler, PA | $11K |
| BHS Faster Care PLLC | Butler, PA | $2K |
| Butler Medical Providers | Fairmount City, PA | $2K |
| Butler Medical Providers | Ford City, PA | $595.87 |
| Butler Medical Providers | Butler, PA | $595.26 |
| Butler Medical Providers | Butler, PA | $486.15 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.