Medicaid Provider Spending

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

KNADA, PA

NPI: 1841795127 · BANGOR, ME 04401 · Clinical Social Worker · NPI assigned 03/28/2018

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

99% of spending on code H0004 with only 3 total codes billed. Highly concentrated billing profile.

$3.63M
Total Medicaid Paid
48,626
Total Claims
16,630
Beneficiaries
3
Codes Billed
2018-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPOOLER, CHRISTOPHER (PRACTICE MANAGER)
NPI Enumeration Date03/28/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 522 $38K
2019 3,232 $222K
2020 6,703 $461K
2021 10,204 $726K
2022 11,879 $881K
2023 10,778 $848K
2024 5,308 $453K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 48,085 16,296 $3.59M
H2000 Comprehensive multidisciplinary evaluation 442 303 $35K
H2019 Therapeutic behavioral services, per 15 minutes 99 31 $9K