Residential
Gaudenzia INC
Gaudenzia INC was paid $39.98M by Medicaid between Aug 2020 and Dec 2024, across 11 billing codes. Its largest line is H2036, Alcohol and/or other drug treatment program, per diem — 78% of everything it billed.
33Billing provider infoGAUDENZIA INC
ERIE, PA 16507
ERIE, PA 16507
33aNPI1922180652assigned 10/20/2006
33bProvider typeSubstance Abuse Rehabilitation Facility
28Total paid$39.98M
24GClaims98,501
24DCodes billed11
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Substance Abuse Rehabilitation Facility providers in Pennsylvania
Rank by total paid#3 of 68
Median peer was paid$5.00M
This provider vs. median8.0×
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.
Entity ProliferationAuthorized official WILLIAMS, MIKE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 4,575 | $1.69M | |
| 2021 | 13,941 | $5.99M | |
| 2022 | 11,485 | $7.70M | |
| 2023 | 28,665 | $12.86M | |
| 2024incomplete | 39,835 | $11.73M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2036 | Alcohol and/or other drug treatment program, per diem | 78% | 69,055 | 6,181 | $31.00M |
| T2048 | Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem | 6.7% | 1,524 | 677 | $2.66M |
| H2034 | Alcohol and/or drug abuse halfway house services, per diem | 4.6% | 1,746 | 586 | $1.82M |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 4.5% | 994 | 504 | $1.82M |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 2.0% | 8,178 | 1,295 | $786K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.6% | 4,342 | 2,686 | $637K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.2% | 8,834 | 2,776 | $495K |
| H0013 | Alcohol and/or drug services; acute detoxification (residential addiction program outpatient) | 1.1% | 403 | 326 | $428K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,780 | 1,501 | $290K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 456 | 381 | $24K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 189 | 181 | $20K |
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 officialWILLIAMS, MIKE (SR. CONTRACTING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Gaudenzia INC | Baltimore, MD | $21.36M |
| Gaudenzia INC | West Chester, PA | $18.43M |
| Gaudenzia, INC. | Philadelphia, PA | $12.11M |
| Gaudenzia INC | Owings Mills, MD | $9.28M |
| Gaudenzia INC | Philadelphia, PA | $9.02M |
| Gaudenzia INC | Philadelphia, PA | $8.50M |
| Gaudenzia INC | Harrisburg, PA | $8.49M |
| Gaudenzia | Harrisburg, PA | $6.89M |
| Gaudenzia INC | Bristol, PA | $5.33M |
| Gaudenzia INC | Philadelphia, PA | $4.64M |
| Gaudenzia, INC. | Philadelphia, PA | $2.60M |
| Gaudenzia | Philadelphia, PA | $1.55M |
| Gaudenzia, INC. | Norristown, PA | $1.13M |
| Gaudenzia INC | Harrisburg, PA | $882K |
| Gaudenzia INC | Philadelphia, PA | $873K |
| Gaudenzia INC | Ashland, PA | $763K |
| Gaudenzia INC | Mechanicsburg, PA | $613K |
| Gaudenzia INC | Wilmington, DE | $464K |
| Gaudenzia | Mc Connellsburg, PA | $150K |
| Gaudenzia INC. | Coatesville, PA | $105K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.