NPI: 1093849994 · CONCORD, NH 03301 · Community/Behavioral Health Agency · NPI assigned 03/15/2007
Authorized official JACKSON, MARIA controls 20+ related entities in our dataset. Read more
| Authorized Official | JACKSON, MARIA (CFO) |
| Parent Organization | METRO TREATMENT OF NEW HAMPSHIRE, LP |
| NPI Enumeration Date | 03/15/2007 |
Other providers sharing the same authorized official: JACKSON, MARIA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 114,486 | $736K |
| 2019 | 135,539 | $1.29M |
| 2020 | 218,711 | $2.05M |
| 2021 | 173,055 | $1.56M |
| 2022 | 169,824 | $1.66M |
| 2023 | 128,972 | $1.46M |
| 2024 | 17,614 | $1.64M |
| 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) | 898,764 | 32,020 | $8.02M |
| 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) | 14,328 | 3,746 | $1.51M |
| H0033 | Oral medication administration, direct observation | 34,127 | 1,336 | $296K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 3,108 | 2,358 | $207K |
| H0001 | Alcohol and/or drug assessment | 741 | 594 | $101K |
| 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 | 2,371 | 1,200 | $89K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,523 | 1,402 | $76K |
| 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 | 611 | 446 | $22K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 344 | 320 | $17K |
| G2074 | Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) | 253 | 180 | $16K |
| T1012 | Alcohol and/or substance abuse services, skills development | 1,031 | 959 | $12K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 322 | 254 | $8K |
| G2068 | Medication assisted treatment, buprenorphine (oral); 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) | 51 | 15 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 510 | 265 | $2K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 27 | 26 | $1K |
| 99215 | Prolong outpt/office vis | 14 | 14 | $1K |
| 86580 | 76 | 62 | $127.89 |