T. W. PONESSA AND ASSOCIATES COUNSELING
NPI: 1881144004
· LANCASTER, PA 17603
· Community/Behavioral Health Agency
· NPI assigned 10/12/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H0035 with only 1 total codes billed. Highly concentrated billing profile.
$1.87M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: DEGUIRE, CATHERINE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
711 |
$0.00 |
| 2021 |
2,480 |
$0.00 |
| 2022 |
3,493 |
$665K |
| 2023 |
3,772 |
$689K |
| 2024 |
2,330 |
$511K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
12,786 |
1,175 |
$1.87M |