Medicaid Provider Spending

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

CROSSKEYS HUMAN SERVICES, INC.

NPI: 1962572651 · UNIONTOWN, PA 15401 · Mental Health Counselor · NPI assigned 11/09/2006

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

100% of spending on code H0036 with only 1 total codes billed. Highly concentrated billing profile.

$2.57M
Total Medicaid Paid
17,167
Total Claims
1,892
Beneficiaries
1
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGERMUSKA, SISTER JAMES (EXECUTIVE DIRECTOR)
NPI Enumeration Date11/09/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 592 $67K
2021 4,296 $589K
2022 4,633 $674K
2023 4,308 $648K
2024 3,338 $594K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 17,167 1,892 $2.57M