Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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H0016

Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)

Medicaid paid $178.32M on code H0016 from 2018 through 2024, to 337 providers — the #506 code in the file by dollars. 49% of it was billed in Tennessee.

28Total paid$178.32M
24GClaims1,174,448
Paid per claim line$151.83
33Providers billing it337
Box 32 · Location

Where H0016 is billed

  1. $87M
  2. $21M
  3. $16M
  4. $11M
  5. $9.7M
  6. $8.6M
  7. $7.4M
  8. $6.2M
  9. $5.6M
  10. $1.1M
  11. $514K
  12. $450K

The largest of 20 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.

Ranked

Top providers billing H0016

#ProviderLocationClaimsPaid on H0016
1 Community Medical Services Montana-Private, LLC Scottsdale, AZ 164,723 $21.19M
2 Ideal Option, PLLC Pasco, WA 97,349 $12.34M
3 Cedar Recovery Center of Middle Tennessee, LLC Columbia, TN 56,786 $11.95M
4 Spero Health of Tennessee, LLC Smyrna, TN 42,055 $9.44M
5 Impact Healthcare, PLLC Jackson, TN 34,014 $6.60M
6 Catalyst Health Solutions,llc Johnson City, TN 31,970 $6.15M
7 Recover Together, INC. London, KY 30,725 $5.60M
8 Revida Recovery Centers, PC Abingdon, VA 28,193 $5.55M
9 Emmaus Medical and Counseling, PLLC Bulls Gap, TN 25,077 $4.69M
10 Community Medical Services Montana Private LLC Fargo, ND 44,562 $4.60M
11 1447611165 25,483 $3.28M
12 Dragonfly Medical and Behavioral Health Professsional Corporation Johnson City, TN 15,836 $3.24M
13 Wellness Ambulatory Care INC. Knoxville, TN 13,823 $3.05M
14 East Tennessee Addiction Specialists Maryville, TN 14,474 $3.04M
15 Restoration Recovery, PLLC Chattanooga, TN 12,606 $2.64M
16 Recovery Strategies LLC Knoxville, TN 10,615 $2.62M
17 National Addiction Specialists LLC Brentwood, TN 11,397 $2.59M
18 Rbi Wellness Center, LLC Loudon, TN 10,107 $2.38M
19 Lifeline Connections Vancouver, WA 21,359 $2.31M
20 Community Medical Services Montana-Private, LLC Minot, ND 25,089 $2.30M
21 Ideal Option, PLLC Cut Bank, MT 16,721 $2.16M
22 Applachian Recovery Care, PLLC Bristol, TN 8,808 $2.08M
23 Ideal Option, PLLC Great Falls, MT 14,191 $1.89M
24 Mckenzie Medical Center PC Mc Kenzie, TN 8,405 $1.47M
25 Riverside Treatment Services Lansdowne, LLC Lansdowne, MD 4,964 $1.33M
26 Ideal Option, PLLC Bozeman, MT 9,368 $1.27M
27 East Tennessee Recovery, PLLC Johnson City, TN 8,070 $1.26M
28 Weaver, Steven Jackson, TN 5,343 $1.25M
29 Springfield Treatment Center Springfield, OR 14,389 $1.22M
30 Heartview Foundation Bismarck, ND 16,415 $1.18M
31 Psychiatric Services of East Tennessee Athens, TN 5,255 $1.16M
32 Ideal Option, PLLC Billings, MT 7,803 $1.12M
33 Spokane Treatment and Recovery Services Spokane, WA 15,334 $1.08M
34 Addiction Behavioral Care Nashville, TN 4,752 $1.06M
35 Turning Point Clinic INC. Baltimore, MD 4,353 $1.02M
36 Crossroads Treatment Centers of Tennessee, PC Harriman, TN 5,467 $873K
37 Iac Associates PLLC Memphis, TN 4,815 $867K
38 Riverside Treatment Services LLC Rosedale, MD 3,476 $847K
39 Ortc, LLC Bend, OR 9,593 $833K
40 Act Wellness Center Murfreesboro, TN 3,500 $824K
41 Breakthrough Medical Clinic of Tennessee INC Johnson City, TN 3,042 $750K
42 Ideal Option, PLLC Helena, MT 4,701 $684K
43 Naomi Paschall,m.D., P.C. Franklin, TN 5,247 $680K
44 Ortc, LLC Medford, OR 7,641 $662K
45 Ideal Option, PLLC Kalispell, MT 4,660 $652K
46 Crossroads Treatment Centers of Tennessee, PC Jacksboro, TN 3,282 $620K
47 Ideal Option, PLLC Great Falls, MT 4,071 $616K
48 O.H.S. East Knoxville Clinic Knoxville, TN 2,537 $615K
49 Westbrook Medical Center, PLLC Knoxville, TN 4,418 $583K
50 Patient Centered Care Mt Juliet, TN 2,620 $583K
51 Roger P. Sherman, M.D., P.L.L.C. Hermitage, TN 4,243 $565K
52 Smyth, Timothy Johnson City, TN 2,880 $541K
53 Vines, Gregory Greeneville, TN 2,764 $541K
54 Bestcare Treatment Services INC Redmond, OR 6,695 $512K
55 Vanderbilt University Medical Center Nashville, TN 2,158 $510K
56 Clarksville Addiction Recovery Clarksville, TN 2,233 $504K
57 Redemption Recovery Center, LLC Jackson, TN 2,309 $486K
58 Mental Health Cooperative, INC Nashville, TN 2,354 $484K
59 Recovery Now, LLC Nashville, TN 2,644 $464K
60 United Planning Organization Washington, DC 6,426 $461K
61 RTS Edgewood Edgewood, MD 1,880 $454K
62 Womens Health Services of the Cumberlands, PLLC Cookeville, TN 2,413 $450K
63 Ideal Option, PLLC Butte, MT 3,030 $429K
64 Selter, Steven Port Jefferson, NY 2,730 $428K
65 CRC Health Oregon, LLC Salem, OR 5,705 $426K
66 Shearer, Robert Springfield, TN 2,349 $426K
67 Helen Ross Mcnabb Center Knoxville, TN 2,131 $413K
68 CRC Health Oregon, LLC Portland, OR 5,502 $412K
69 Coda, INC. Portland, OR 4,196 $406K
70 Nashville Addiction Clinic Nashville, TN 1,993 $399K
71 Mosheim Recovery Associates Mosheim, TN 2,031 $393K
72 University of Maryland Medical Center, LLC Baltimore, MD 1,560 $383K
73 CRC Health Oregon, LLC Portland, OR 4,578 $377K
74 Concerted Care Group Brooklyn LLC Baltimore, MD 1,630 $375K
75 Redeem Healthcare and Medical System INC Baltimore, MD 1,424 $355K
76 Concerted Care Group Baltimore, LLC Baltimore, MD 1,507 $352K
77 Addiction Center of Nashville LLC Columbia, TN 3,815 $351K
78 Winchester Health LLC Baltimore, MD 1,563 $351K
79 Mindful Recovery Addiction Specialist, LLC Oneida, TN 1,701 $345K
80 Charles B Cox MDPC Athens, TN 2,224 $311K
81 Institutes for Behavior Resources, INC. Baltimore, MD 1,339 $306K
82 The Next Door, INC. Nashville, TN 1,834 $306K
83 Recovery Care of Columbia Brentwood, TN 1,556 $304K
84 Hampden Health Solutions at the Rail, INC. Baltimore, MD 1,233 $304K
85 By Grace Baltimore, MD 1,059 $292K
86 Hammons, Zachary Johnson City, TN 2,063 $290K
87 Federal City Recovery Services INC Washington, DC 4,188 $288K
88 Ideal Option, PLLC Glasgow, MT 2,067 $285K
89 An Insured Recovery, LLC Goodlettsville, TN 1,527 $285K
90 Ortc, LLC Bend, OR 3,411 $283K
91 Ellis, Ira Milan, TN 2,350 $281K
92 Stalcup, Clay Seymour, TN 1,172 $272K
93 Park Heights Health Services, INC. Baltimore, MD 1,072 $272K
94 Ultimate Care Behavioral Health Services Ashland, KY 1,707 $272K
95 Phoenix Health Center LLC Hagerstown, MD 1,059 $268K
96 Ideal Option, PLLC Williston, ND 1,988 $265K
97 CRC Health Oregon, LLC Portland, OR 3,474 $261K
98 Wilson, Jerry Franklin, TN 1,087 $252K
99 Barrowclough, John Erwin, TN 1,047 $239K
100 Champion Healthcare LLC Lebanon, TN 1,719 $238K