Medicaid Provider Spending

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

NATIONAL MENTOR HEALTHCARE, LLC

NPI: 1952989212 · BROOMALL, PA 19008 · Community/Behavioral Health Agency · NPI assigned 03/30/2021

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COHEN, BRETT controls 17+ related entities in our dataset. Read more

$44.63M
Total Medicaid Paid
244,392
Total Claims
52,550
Beneficiaries
12
Codes Billed
2021-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOHEN, BRETT (COO)
Parent OrganizationNATIONAL MENTOR HEALTHCARE LLC, D.B.A. PENNSYLVANIA MENTOR
NPI Enumeration Date03/30/2021

Related Entities

Other providers sharing the same authorized official: COHEN, BRETT

ProviderCityStateTotal Paid
REM RAMSEY, INC. NORTH SAINT PAUL MN $207.51M
REM HENNEPIN, INC. MINNEAPOLIS MN $188.89M
REM RIVER BLUFFS, INC. ROCHESTER MN $165.77M
REM SOUTH CENTRAL, INC. WILLMAR MN $145.64M
REM NORTH STAR, INC. BEMIDJI MN $132.67M
REM MINNESOTA COMMUNITY SERVICES, INC. APPLE VALLEY MN $131.37M
REM CENTRAL LAKES, INC. SARTELL MN $122.19M
REM WOODVALE, INC. OWATONNA MN $121.27M
REM HEARTLAND, INC. FAIRMONT MN $118.98M
NATIONAL MENTOR HEALTHCARE NETWORK JACKSONVILLE FL $114.96M
REM ARROWHEAD, INC. DULUTH MN $107.83M
REM SOUTHWEST SERVICES, INC. CANBY MN $64.40M
BRIDGES OF INDIANA, INC. TERRE HAUTE IN $457K
REM HEARTLAND INC MADELIA MN $184K
405 86TH PHARMACY INC BROOKLYN NY $94K
REM HEARTLAND INC MANKATO MN $53K
PINE BUSH AREA AMBULANCE CORPS INC PINE BUSH NY $50K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 34,747 $4.84M
2022 38,167 $6.44M
2023 84,010 $15.71M
2024 87,468 $17.64M

Billing Codes

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