National Mentor Healthcare LLC
National Mentor Healthcare LLC was paid $31.56M by Medicaid between Dec 2019 and Dec 2024, across 17 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 24% of everything it billed.
BROOMALL, PA 19008
Next to other Community/Behavioral Health Agency providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 30 | $4K | |
| 2020 | 33,950 | $4.37M | |
| 2021 | 70,303 | $9.64M | |
| 2022 | 59,000 | $9.14M | |
| 2023 | 25,532 | $4.30M | |
| 2024incomplete | 23,136 | $4.10M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 24% | 61,464 | 21,012 | $7.52M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 18% | 21,668 | 3,041 | $5.59M |
| H2021 | Community-based wrap-around services, per 15 minutes | 13% | 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 | 9.9% | 20,938 | 745 | $3.11M |
| H0032 | Mental health service plan development by non-physician | 9.5% | 20,001 | 5,525 | $2.99M |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 9.3% | 18,639 | 2,230 | $2.94M |
| H0038 | Self-help/peer services, per 15 minutes | 5.4% | 13,066 | 3,743 | $1.71M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 5.4% | 10,190 | 3,150 | $1.70M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 2.9% | 8,637 | 2,709 | $919K |
| 97151 | 1.3% | 2,798 | 1,383 | $406K | |
| T1016 | Case management, each 15 minutes | <1% | 934 | 355 | $209K |
| H0046 | Mental health services, not otherwise specified | <1% | 1,114 | 402 | $109K |
5 more codes
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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.