Medicaid Provider Spending

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

NATIONAL MENTOR HEALTHCARE LLC

NPI: 1972667004 · BROOMALL, PA 19008 · Community/Behavioral Health Agency · NPI assigned 12/21/2006

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

Authorized official RODENBERG-ROBERTS, MARY controls 19+ related entities in our dataset. Read more

$31.56M
Total Medicaid Paid
211,951
Total Claims
49,004
Beneficiaries
17
Codes Billed
2019-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRODENBERG-ROBERTS, MARY (VP & SR ASST GENERAL COUNSEL)
NPI Enumeration Date12/21/2006

Related Entities

Other providers sharing the same authorized official: RODENBERG-ROBERTS, MARY

ProviderCityStateTotal Paid
NATIONAL MENTOR HEALTHCARE PHOENIX AZ $459.72M
REM IOWA COMMUNITY SERVICES, INC. HIAWATHA IA $154.95M
D&S RESIDENTIAL SERVICES, LP AUSTIN TX $97.17M
REM IOWA COMMUNITY SERVICES, INC DAVENPORT IA $87.08M
INDIANA MENTOR INDIANAPOLIS IN $62.47M
REM IOWA COMMUNITY SERVICES, INC COUNCIL BLUFFS IA $54.32M
REM IOWA COMMUNITY SERVICES, INC KEOKUK IA $28.86M
MENTOR ABI CHARLESTOWN RI $19.88M
REM IOWA DEVELOPMENTAL SERVICES, INC. HIAWATHA IA $18.22M
CENTER FOR COMPREHENSIVE SERVICES BOWIE MD $17.22M
PEDIATRIC THERAPY PARTNERS, INC. THIEF RIVER FALLS MN $14.14M
SPECTRUM HOME HEALTHCARE LLC PHOENIX AZ $11.44M
INSTITUTE FOR FAMILY CENTERED SERVICES INC HAGERSTOWN MD $1.64M
INSTITUTE FOR FAMILY CENTERED SERVICES GAITHERSBURG MD $595K
INSTITUTE FOR FAMILY CENTERED SERVICES INC BALTIMORE MD $436K
INSTITUTE FOR FAMILY CENTERED SERVICES LANHAM MD $264K
MENTOR ABI, LLC BLACKSBURG VA $222K
NATIONAL MENTOR HEALTHCARE LLC PHOENIX AZ $0.00
ARIZONA HEALTH CARE CONTRACT MANAGEMENT SERVICES INC. PHOENIX AZ $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 30 $4K
2020 33,950 $4.37M
2021 70,303 $9.64M
2022 59,000 $9.14M
2023 25,532 $4.30M
2024 23,136 $4.10M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1017 Targeted case management, each 15 minutes 61,464 21,012 $7.52M
H0004 Behavioral health counseling and therapy, per 15 minutes 21,668 3,041 $5.59M
H2021 Community-based wrap-around services, per 15 minutes 29,333 2,721 $4.02M
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 20,938 745 $3.11M
H0032 Mental health service plan development by non-physician 20,001 5,525 $2.99M
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 18,639 2,230 $2.94M
H0038 Self-help/peer services, per 15 minutes 13,066 3,743 $1.71M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 10,190 3,150 $1.70M
H2019 Therapeutic behavioral services, per 15 minutes 8,637 2,709 $919K
97151 2,798 1,383 $406K
T1016 Case management, each 15 minutes 934 355 $209K
H0046 Mental health services, not otherwise specified 1,114 402 $109K
90791 Psychiatric diagnostic evaluation 824 666 $103K
97154 726 236 $102K
97156 1,096 589 $99K
H0031 Mental health assessment, by non-physician 505 483 $22K
H2014 Skills training and development, per 15 minutes 18 14 $482.50