Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

National Mentor Healthcare, LLC

National Mentor Healthcare, LLC was paid $44.63M by Medicaid between Jan 2021 and Dec 2024, across 12 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 35% of everything it billed.

33Billing provider infoNATIONAL MENTOR HEALTHCARE, LLC
BROOMALL, PA 19008
33aNPI1952989212assigned 03/30/2021
28Total paid$44.63M
24GClaims244,392
24DCodes billed12
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in Pennsylvania

Rank by total paid#11 of 517
Median peer was paid$1.23M
This provider vs. median36×

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 COHEN, BRETT controls 17+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M2018201920202021202220232024
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
YearClaimsPaid
202134,747$4.84M
202238,167$6.44M
202384,010$15.71M
2024incomplete87,468$17.64M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97153 Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes 35% 75,246 7,629 $15.77M
H2021 Community-based wrap-around services, per 15 minutes 16% 44,660 4,796 $7.36M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 16% 33,605 10,655 $7.06M
H0032 Mental health service plan development by non-physician 15% 36,836 10,427 $6.57M
97154 7.5% 21,452 3,464 $3.34M
97151 4.7% 10,907 5,792 $2.11M
H2019 Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes 4.0% 14,677 4,796 $1.80M
97156 <1% 3,695 2,186 $435K
H0031 Mental health assessment, by non-physician <1% 2,081 2,015 $88K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 675 389 $53K
97158 <1% 292 196 $37K
H2014 Skills training and development, per 15 minutes <1% 266 205 $7K

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 officialCOHEN, BRETT (COO)
Parent organizationNATIONAL MENTOR HEALTHCARE LLC, D.B.A. PENNSYLVANIA MENTOR
Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.