Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › BEAVER FALLS › BEAVER COUNTY MH MR D&A PROGRAM

BEAVER COUNTY MH MR D&A PROGRAM

NPI: 1871716274 · BEAVER FALLS, PA 15010 · Case Management Agency · NPI assigned 04/11/2007

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

100% of spending on code T1017 with only 1 total codes billed. Highly concentrated billing profile.

$3.82M
Total Medicaid Paid
27,555
Total Claims
9,037
Beneficiaries
1
Codes Billed
2020-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMIKE, GERARD (ADMINISTRATOR)
NPI Enumeration Date04/11/2007

Related Entities

Other providers sharing the same authorized official: MIKE, GERARD

ProviderCityStateTotal Paid
BEAVER COUNTY MH MR - D&A PROGRAM BEAVER FALLS PA $9.05M
BEAVER COUNTY MH MR - D&A PROGRAM BEAVER FALLS PA $828K
BEAVER COUNTY MH MR DRUG & ALCOHOL PROGRAM BEAVER FALLS PA $102K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,989 $184K
2021 8,052 $879K
2022 6,878 $1.07M
2023 5,813 $899K
2024 4,823 $783K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1017 Targeted case management, each 15 minutes 27,555 9,037 $3.82M