Medicaid Provider Spending

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

NORTHERN TIER COUNSELING, INC

NPI: 1881728194 · TOWANDA, PA 18848 · Adult Mental Health Clinic/Center · NPI assigned 03/16/2007

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

100% of spending on code H0036 with only 1 total codes billed. Highly concentrated billing profile.

$1.99M
Total Medicaid Paid
8,709
Total Claims
1,213
Beneficiaries
1
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDENAULT, PAUL (CEO)
NPI Enumeration Date03/16/2007

Related Entities

Other providers sharing the same authorized official: DENAULT, PAUL

ProviderCityStateTotal Paid
NORTHERN TIER COUNSELING, INC. TOWANDA PA $14.19M
NORTHERN TIER COUNSELING, INC TOWANDA PA $781K
NORTHERN TIER COUNSELING, INC TOWANDA PA $39K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 350 $61K
2021 1,727 $324K
2022 2,229 $511K
2023 2,357 $593K
2024 2,046 $503K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 8,709 1,213 $1.99M