Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Melmark, INC.

Melmark, INC. was paid $34.96M by Medicaid between Nov 2020 and Nov 2024, across 1 billing code. Its largest line is H0019, Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem — 100% of everything it billed.

33Billing provider infoMELMARK, INC.
BERWYN, PA 19312
33aNPI1861568107assigned 11/28/2006
28Total paid$34.96M
24GClaims1,204
24DCodes billed1
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#1 of 2,756
Median peer was paid$19K
This provider vs. median1,822×

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.

Single-Code Concentration100% of spending on code H0019 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
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
202058$1.11M
2021237$7.32M
2022208$6.36M
2023323$9.40M
2024incomplete378$10.78M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 100% 1,204 977 $34.96M

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 officialCROFCHECK, THOMAS (VICE PRESIDENT & CFO)