Medicaid Provider Spending

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

NPI: 1881072999 · NANTICOKE, PA 18634 · Clinic/Center · NPI assigned 05/08/2015

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

100% of spending on code H0039 with only 2 total codes billed. Highly concentrated billing profile.

$5.05M
Total Medicaid Paid
30,659
Total Claims
2,897
Beneficiaries
2
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEMERSHAW, FRAN (CEO)
NPI Enumeration Date05/08/2015

Related Entities

Other providers sharing the same authorized official: EMERSHAW, FRAN

ProviderCityStateTotal Paid
NORTHEAST COUNSELING SERVICES HAZLE TOWNSHIP PA $10.03M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,785 $297K
2021 8,850 $941K
2022 6,807 $925K
2023 6,181 $1.24M
2024 6,036 $1.65M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0039 Assertive community treatment, face-to-face, per 15 minutes 30,632 2,870 $5.05M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27 27 $516.27