Medicaid Provider Spending

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

GAUDENZIA

NPI: 1922273564 · PHILADELPHIA, PA 19140 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 04/24/2008

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

93% of spending on code H2036 with only 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official WILLIAMS, MIKE controls 20+ related entities in our dataset. Read more

$1.55M
Total Medicaid Paid
3,034
Total Claims
152
Beneficiaries
2
Codes Billed
2022-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWILLIAMS, MIKE (SR. CONTRACTING MANAGER)
NPI Enumeration Date04/24/2008

Related Entities

Other providers sharing the same authorized official: WILLIAMS, MIKE

ProviderCityStateTotal Paid
GAUDENZIA INC ERIE PA $39.98M
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, 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 256 $108K
2023 1,500 $771K
2024 1,278 $667K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2036 Alcohol and/or other drug treatment program, per diem 2,778 140 $1.44M
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 256 12 $108K