NPI: 1033624853 · GRAY, TN 37615 · Methadone Clinic · NPI assigned 12/04/2017
Authorized official HILTON, SHANE controls 20+ related entities in our dataset. Read more
| Authorized Official | HILTON, SHANE (EVP/CFO) |
| NPI Enumeration Date | 12/04/2017 |
Other providers sharing the same authorized official: HILTON, SHANE
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,288 | $48K |
| 2021 | 25,465 | $560K |
| 2022 | 46,452 | $848K |
| 2023 | 52,263 | $1.02M |
| 2024 | 45,517 | $826K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 58,297 | 6,915 | $3.12M |
| S0109 | Methadone, oral, 5 mg | 57,509 | 6,897 | $108K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 642 | 428 | $30K |
| 80305 | 2,210 | 844 | $27K | |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 56 | 28 | $8K |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | 6,287 | 713 | $4K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 21,765 | 4,775 | $325.11 |
| H0049 | Alcohol and/or drug screening | 271 | 34 | $144.00 |
| G2079 | Take-home supply of buprenorphine (oral); up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 8,442 | 1,625 | $74.95 |
| H0003 | Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs | 15,519 | 5,159 | $0.00 |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code | 947 | 495 | $0.00 |
| G2080 | Each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 40 | 25 | $0.00 |