Addiction Services and Pharmacotherapy, SC
Addiction Services and Pharmacotherapy, SC was paid $7.44M by Medicaid between Jan 2019 and Dec 2024, across 14 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 48% of everything it billed.
MADISON, WI 53713
Next to other Methadone Clinic providers in Wisconsin
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 | |
|---|---|---|---|
| 2019 | 19,267 | $375K | |
| 2020 | 60,475 | $1.17M | |
| 2021 | 81,524 | $1.56M | |
| 2022 | 86,957 | $1.77M | |
| 2023 | 72,545 | $1.57M | |
| 2024incomplete | 51,755 | $1.00M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 48% | 305,906 | 84,388 | $3.56M |
| H0003 | Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs | 46% | 51,245 | 30,737 | $3.39M |
| H0022 | Alcohol and/or drug intervention service (planned facilitation) | 4.7% | 10,861 | 7,266 | $353K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 937 | 877 | $69K |
| 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) | <1% | 588 | 193 | $47K |
| 98966 | <1% | 1,403 | 551 | $10K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 195 | 71 | $7K |
| 86580 | <1% | 376 | 357 | $3K | |
| 99001 | <1% | 486 | 440 | $2K | |
| 80305 | <1% | 326 | 146 | $844.07 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 37 | 27 | $732.48 |
| 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 | <1% | 26 | 12 | $579.38 |
2 more codes
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 |
|---|---|---|
| Addiction Services and Pharmacotherapy, SC | West Allis, WI | $3.05M |
| Addiction Services and Pharmacotherapy, SC | Kenosha, WI | $1.22M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.