MELMARK, INC.
NPI: 1861568107
· BERWYN, PA 19312
· Family Medicine Physician
· NPI assigned 11/28/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H0019 with only 1 total codes billed. Highly concentrated billing profile.
$34.96M
Total Medicaid Paid
Provider Details
| Authorized Official | CROFCHECK, THOMAS (VICE PRESIDENT & CFO) |
| NPI Enumeration Date | 11/28/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
58 |
$1.11M |
| 2021 |
237 |
$7.32M |
| 2022 |
208 |
$6.36M |
| 2023 |
323 |
$9.40M |
| 2024 |
378 |
$10.78M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
1,204 |
977 |
$34.96M |