Is BERKS COUNSELING CENTER, INC. flagged for Medicaid fraud?

BERKS COUNSELING CENTER, INC. (NPI: 1881620250) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does BERKS COUNSELING CENTER, INC. bill Medicaid?

BERKS COUNSELING CENTER, INC. received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Counselor, Addiction (Substance Use Disorder) provider. Located in READING, PA.

What is NPI 1881620250?

NPI 1881620250 is the National Provider Identifier for BERKS COUNSELING CENTER, INC.. They are a Counselor, Addiction (Substance Use Disorder) provider based in READING, PA. This NPI is registered with the CMS NPI Registry.

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BERKS COUNSELING CENTER, INC.

Counselor, Addiction (Substance Use Disorder)·READING, PA·NPI: 1881620250Share

Compared to Counselor, Addiction (Substance Use Disorder) Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $43.9M is at the 50th percentile among 20 Counselor, Addiction (Substance Use Disorder) providers.

Active Billing Period:2020-01→2024-12(60 months)

Total Paid

$43.9M

$43,904,629

Total Claims

215K

Beneficiaries

147K

1.5 claims/patient

Avg Cost/Claim

$204

Monthly Spending Trend

Yearly Spending

2020

$9.1M

+5%

2021

$9.6M

-5%

2022

$9.1M

+1%

2023

$9.2M

-24%

2024

$7.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (W0500 (Waiver service, state-specific code)) accounts for 98% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

W0500Waiver service, state-specific codeSee all providers →

$43.2M

51K claims

$842.35

$207.17

4.1×

Top 25%

W0500Top 25%

Waiver service, state-specific code

$43.2M

51K claims · 98.4%

Your Cost: $842.35/claim|Median: $207.17

4.1× median

H0034Medication training and management, per 15 minSee all providers →

$656K

21K claims

$31.23

$56.90

0.5×

Normal range

H0034Normal range

Medication training and management, per 15 min

$656K

21K claims · 1.5%

Your Cost: $31.23/claim|Median: $56.90

0.5× median

90834Psychotherapy, 45 minutesSee all providers →

$14K

41K claims

$0.34

$63.65

0.0×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$14K

41K claims · 0.0%

Your Cost: $0.34/claim|Median: $63.65

0.0× median

90837Psychotherapy, 60 minutesSee all providers →

$13K

5,234 claims

$2.54

$85.66

0.0×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$13K

5,234 claims · 0.0%

Your Cost: $2.54/claim|Median: $85.66

0.0× median

90832Psychotherapy, 30 minutesSee all providers →

$6K

21K claims

$0.28

$41.28

0.0×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$6K

21K claims · 0.0%

Your Cost: $0.28/claim|Median: $41.28

0.0× median

90853Group psychotherapySee all providers →

$3K

17K claims

$0.15

$25.02

0.0×

Normal range

90853Normal range

Group psychotherapy

$3K

17K claims · 0.0%

Your Cost: $0.15/claim|Median: $25.02

0.0× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$1K

74 claims

$18.12

$53.41

0.3×

Normal range

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$1K

74 claims · 0.0%

Your Cost: $18.12/claim|Median: $53.41

0.3× median

H0015Alcohol and/or drug abuse, intensive outpatient, per hourSee all providers →

$1K

8,608 claims

$0.15

$129.75

0.0×

Normal range

H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$1K

8,608 claims · 0.0%

Your Cost: $0.15/claim|Median: $129.75

0.0× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

$1K

2,612 claims

$0.44

$108.91

0.0×

Normal range

90792Normal range

Psychiatric diagnostic evaluation with medical services

$1K

2,612 claims · 0.0%

Your Cost: $0.44/claim|Median: $108.91

0.0× median

99211Office/outpatient visit, minimal complexitySee all providers →

$581

14K claims

$0.04

$12.93

0.0×

Normal range

99211Normal range

Office/outpatient visit, minimal complexity

$581

14K claims · 0.0%

Your Cost: $0.04/claim|Median: $12.93

0.0× median

H0006Alcohol and/or drug services, case managementSee all providers →

9,662 claims

$0.00

$43.10

—

Normal range

H0006Normal range

Alcohol and/or drug services, case management

9,662 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.10

H0047Alcohol and/or drug abuse, not otherwise specifiedSee all providers →

18 claims

$0.00

$81.37

—

Normal range

H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

18 claims · 0.0%

Your Cost: $0.00/claim|Median: $81.37

H2030Mental health clubhouse services, per 15 minutesSee all providers →

1,739 claims

$0.00

$73.58

—

Normal range

H2030Normal range

Mental health clubhouse services, per 15 minutes

1,739 claims · 0.0%

Your Cost: $0.00/claim|Median: $73.58

H0039Assertive community treatment, per diemSee all providers →

11K claims

$0.00

$132.62

—

Normal range

H0039Normal range

Assertive community treatment, per diem

11K claims · 0.0%

Your Cost: $0.00/claim|Median: $132.62

T1017Targeted case management, per 15 minSee all providers →

3,575 claims

$0.00

$69.56

—

Normal range

T1017Normal range

Targeted case management, per 15 min

3,575 claims · 0.0%

Your Cost: $0.00/claim|Median: $69.56

H0038Self-help/peer services, per 15 minutesSee all providers →

6,568 claims

$0.00

$55.04

—

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

6,568 claims · 0.0%

Your Cost: $0.00/claim|Median: $55.04

90847Family psychotherapy with patient, 50 minSee all providers →

55 claims

$0.00

$77.33

—

Normal range

90847Normal range

Family psychotherapy with patient, 50 min

55 claims · 0.0%

Your Cost: $0.00/claim|Median: $77.33

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