Medicaid Provider Spending

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

CORNERSTONE MONTGOMERY, INC.

NPI: 1871943381 · ROCKVILLE, MD 20850 · Community/Behavioral Health Agency · NPI assigned 06/15/2016

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

100% of spending on code H0040 with only 3 total codes billed. Highly concentrated billing profile.

$7.57M
Total Medicaid Paid
5,490
Total Claims
5,284
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialZECHA, GWENDOLYN (CFO)
Parent OrganizationCORNERSTONE MONTGOMERY, INC.
NPI Enumeration Date06/15/2016

Related Entities

Other providers sharing the same authorized official: ZECHA, GWENDOLYN

ProviderCityStateTotal Paid
CORNERSTONE MONTGOMERY, INC. SILVER SPRING MD $29.48M
CORNERSTONE MONTGOMERY, INC. ROCKVILLE MD $11.60M
CORNERSTONE MONTGOMERY, INC. SILVER SPRING MD $3.07M
CORNERSTONE MONTGOMERY, INC. ROCKVILLE MD $2.52M
CORNERSTONE MONTGOMERY, INC. ROCKVILLE MD $430K
CORNERSTONE MONTGOMERY, INC. SILVER SPRING MD $157K
CORNERSTONE MONTGOMERY, INC. BETHESDA MD $105K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 554 $670K
2019 519 $635K
2020 1,034 $1.09M
2021 1,185 $1.68M
2022 1,192 $1.82M
2023 616 $980K
2024 390 $695K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0040 Assertive community treatment program, per diem 5,458 5,253 $7.57M
H0037 Community psychiatric supportive treatment program, per diem 17 16 $0.00
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 15 15 $0.00