Behavioral
Lags Recovery Centers, INC.
Lags Recovery Centers, INC. was paid $5.55M by Medicaid between Jun 2021 and Dec 2023, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoLAGS RECOVERY CENTERS, INC.
SANTA MARIA, CA 93458
SANTA MARIA, CA 93458
33aNPI1033665526assigned 08/25/2016
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$5.55M
24GClaims49,751
24DCodes billed16
24AFirst – last monthJun 2021 – Dec 2023
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in California
Rank by total paid#4 of 66
Median peer was paid$98K
This provider vs. median57×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 6,890 | $603K | |
| 2022 | 20,492 | $2.61M | |
| 2023 | 22,369 | $2.34M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 13,247 | 11,683 | $1.92M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 28% | 9,177 | 8,213 | $1.54M |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 25% | 21,077 | 18,160 | $1.37M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 9.7% | 2,167 | 2,151 | $540K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.2% | 446 | 446 | $64K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.1% | 1,202 | 923 | $59K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 715 | 522 | $48K |
| 80305 | <1% | 561 | 509 | $6K | |
| 99442 | <1% | 304 | 294 | $4K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 35 | 35 | $3K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 118 | 49 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 25 | 24 | $2K |
4 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $786.76 |
| G9920 | Screening performed and negative | <1% | 384 | $145.00 |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 240 | $87.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 41 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialLAGATTUTA, FRANCIS (CEO)
| Provider | Location | Paid |
|---|---|---|
| Lags Spine and Sportscare Medical Centers INC | Santa Maria, CA | $33.42M |
| Spine and Pain Treatment Medical Center of Santa Barbara INC. | Fresno, CA | $1.03M |
| Lags Spine and Sportscare Medical Centers, INC. | Reno, NV | $14K |
| Spine and Pain Treatment Medical Center of Santa Maria INC | Santa Maria, CA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.