Autumn Treatment Center LLC
Autumn Treatment Center LLC was paid $913K by Medicaid between Apr 2022 and Dec 2024, across 20 billing codes. Its largest line is G0481, Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed — 21% of everything it billed.
CIRCLEVILLE, OH 43113
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Ohio
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 1,772 | $105K | |
| 2023 | 6,122 | $303K | |
| 2024incomplete | 8,949 | $505K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | 21% | 2,326 | 1,414 | $189K |
| 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 | 20% | 1,661 | 1,074 | $183K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 17% | 3,582 | 2,112 | $153K |
| 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 | 8.8% | 816 | 198 | $81K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.5% | 888 | 580 | $68K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 5.4% | 3,510 | 2,185 | $50K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 4.6% | 665 | 288 | $42K |
| H0006 | Alcohol and/or drug services; case management | 4.5% | 1,049 | 632 | $41K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.7% | 261 | 158 | $25K |
| T1003 | Lpn/lvn services, up to 15 minutes | 2.2% | 849 | 517 | $20K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.0% | 389 | 249 | $18K |
| T1002 | Rn services, up to 15 minutes | 1.7% | 430 | 254 | $15K |
8 more codes
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed | 1.2% | 81 | $11K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 1.0% | 185 | $9K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $2K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 34 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 13 | $1K |
| H0001 | Alcohol and/or drug assessment | <1% | 16 | $1K |
| 82075 | <1% | 55 | $679.52 | |
| 81025 | <1% | 20 | $109.82 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Autumn Treatment Center LLC | Circleville, OH | $1.90M |
| Jyothi Puram, M.D., INC | Springfield, OH | $50K |
| Lucid Diagnostics Labs LLC | Lexington, KY | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.