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NPI 1234567811
1234567811
1234567811 was paid $42.92M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is H2036, Alcohol and/or other drug treatment program, per diem — 55% of everything it billed.
33Billing provider info1234567811
33aNPI1234567811
33bProvider type—
28Total paid$42.92M
24GClaims247,533
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
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 | |
|---|---|---|---|
| 2018 | 25,535 | $2.23M | |
| 2019 | 20,061 | $1.53M | |
| 2020 | 21,810 | $1.55M | |
| 2021 | 26,505 | $6.89M | |
| 2022 | 22,804 | $8.99M | |
| 2023 | 55,427 | $10.99M | |
| 2024incomplete | 75,391 | $10.73M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2036 | Alcohol and/or other drug treatment program, per diem | 55% | 3,891 | 2,533 | $23.65M |
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem | 7.8% | 21,797 | 1,007 | $3.36M |
| 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) | 7.7% | 17,288 | 4,631 | $3.30M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.9% | 33,887 | 15,052 | $2.55M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 5.6% | 10,152 | 3,927 | $2.41M |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 4.4% | 99,814 | 4,291 | $1.89M |
| T1027 | Family training and counseling for child development, per 15 minutes | 4.1% | 13,199 | 2,459 | $1.75M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 3.0% | 16,741 | 6,137 | $1.27M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 2.1% | 6,121 | 1,095 | $881K |
| S9485 | Crisis intervention mental health services, per diem | 1.6% | 792 | 646 | $674K |
| 90882 | <1% | 8,768 | 3,729 | $411K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,339 | 1,334 | $152K |
17 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 2,298 | $116K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,315 | $83K |
| 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 | <1% | 988 | $73K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 1,463 | $56K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,200 | $56K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,778 | $51K |
| 99404 | <1% | 255 | $39K | |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | <1% | 1,493 | $33K |
| 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 | <1% | 698 | $28K |
| 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) | <1% | 189 | $28K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 267 | $22K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 121 | $10K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 237 | $8K |
| 98968 | <1% | 320 | $8K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 51 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 41 | $2K |
| 99442 | <1% | 30 | $588.90 |
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.