Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

T. W. Ponessa and Associates Counseling

T. W. Ponessa and Associates Counseling was paid $1.87M by Medicaid between Oct 2020 and Dec 2024, across 1 billing code. Its largest line is H0035, Mental health partial hospitalization, treatment, less than 24 hours — 100% of everything it billed.

33Billing provider infoT. W. PONESSA AND ASSOCIATES COUNSELING
LANCASTER, PA 17603
33aNPI1881144004assigned 10/12/2016
28Total paid$1.87M
24GClaims12,786
24DCodes billed1
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in Pennsylvania

Rank by total paid#210 of 517
Median peer was paid$1.23M
This provider vs. median1.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code H0035 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2020711$0.00
20212,480$0.00
20223,493$665K
20233,772$689K
2024incomplete2,330$511K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0035 Mental health partial hospitalization, treatment, less than 24 hours 100% 12,786 1,175 $1.87M

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialDEGUIRE, CATHERINE (CEO)
Same official

Other billing entities under DEGUIRE, CATHERINE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.