Medicaid Provider Spending

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

NPI: 1932245099 · PHILADELPHIA, PA 19102 · Community/Behavioral Health Agency · NPI assigned 01/29/2007

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

91% of spending on code H2036 with only 2 total codes billed. Highly concentrated billing profile.

$6.14M
Total Medicaid Paid
1,856
Total Claims
980
Beneficiaries
2
Codes Billed
2020-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCOHEN, RICHARD (PRESIDENT)
NPI Enumeration Date01/29/2007

Related Entities

Other providers sharing the same authorized official: COHEN, RICHARD

ProviderCityStateTotal Paid
PHILADELPHIA HEALTH MANAGEMENT CORP PHILADELPHIA PA $2.67M
PUBLIC HEALTH MANAGEMENT CORP PHILADELPHIA PA $705K
INTERIM HOUSE INC PHILADELPHIA PA $182K
ARCO EDUCATIONAL SERVICES, LLC BEDMINSTER NJ $18K
RICHARD S COHEN DPM PA GREENBELT MD $11K
DUPONT ANESTHESIA PSC LOUISVILLE KY $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 50 $0.00
2021 376 $0.00
2022 408 $1.49M
2023 576 $2.42M
2024 446 $2.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2036 Alcohol and/or other drug treatment program, per diem 1,273 646 $5.59M
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 583 334 $548K