Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PREMIUM MENTAL HEALTH CARE, CORP.

NPI: 1891342788 · HOMESTEAD, FL 33032 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 08/25/2019

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

99% of spending on code H2017 with only 3 total codes billed. Highly concentrated billing profile.

$3.26M
Total Medicaid Paid
30,132
Total Claims
3,033
Beneficiaries
3
Codes Billed
2020-04
First Month
2021-08
Last Month

Provider Details

Authorized OfficialHERRERA, HERMES (OWNER)
NPI Enumeration Date08/25/2019

Related Entities

Other providers sharing the same authorized official: HERRERA, HERMES

ProviderCityStateTotal Paid
1ST COMMUNITY SUPPORT MENTAL HEALTH SERVICES, CORP MIAMI FL $4.43M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 18,947 $1.79M
2021 11,185 $1.47M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2017 Psychosocial rehabilitation services, per 15 minutes 28,719 1,959 $3.23M
H0032 Mental health service plan development by non-physician 471 452 $23K
H0031 Mental health assessment, by non-physician 942 622 $17K