Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ADDICTION MEDICAL FACILITY, LLC

NPI: 1063921047 · SEAFORD, DE 19973 · Addiction (Substance Use Disorder) Counselor · NPI assigned 09/22/2017

$9.00M
Total Medicaid Paid
457,959
Total Claims
57,874
Beneficiaries
31
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHARP, TAMMY (BILLING SPECIALIST MANAGER)
NPI Enumeration Date09/22/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 57 $0.00
2019 9,312 $380K
2020 80,942 $1.21M
2021 108,585 $1.85M
2022 106,580 $2.28M
2023 76,146 $1.73M
2024 76,337 $1.56M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 178,901 17,957 $3.92M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 234,949 19,324 $3.81M
90837 Psychotherapy, 53 minutes with patient 4,102 3,203 $366K
90832 Psychotherapy, 30 minutes with patient 3,593 2,984 $167K
90834 Psychotherapy, 45 minutes with patient 2,457 2,186 $164K
H0001 Alcohol and/or drug assessment 1,043 911 $87K
90791 Psychiatric diagnostic evaluation 613 574 $65K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,681 1,012 $63K
J0571 Buprenorphine, oral, 1 mg 18,612 680 $53K
99408 1,854 1,373 $52K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 665 497 $50K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 883 727 $47K
90853 Group psychotherapy (other than of a multiple-family group) 1,770 1,219 $31K
80305 5,471 4,231 $28K
99215 Prolong outpt/office vis 165 123 $17K
90838 211 132 $17K
99205 Prolong outpt/office vis 172 158 $14K
H0004 Behavioral health counseling and therapy, per 15 minutes 157 123 $12K
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 121 24 $10K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 148 100 $8K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 49 49 $8K
99284 Emergency department visit for the evaluation and management, high severity 24 24 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $2K
98968 35 32 $681.53
99053 19 19 $420.00
99354 18 15 $299.40
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 12 $282.33
86580 65 60 $255.96
Q3014 Telehealth originating site facility fee 63 54 $190.00
81025 36 34 $103.12
T1015 Clinic visit/encounter, all-inclusive 57 25 $0.00