Medicaid Provider Spending

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

ADDICTION WELLNESS CENTER OH LLC

NPI: 1275235103 · TOLEDO, OH 43606 · Addiction Medicine (Family Medicine) Physician · NPI assigned 03/22/2023

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COSTLEY, JESSIE controls 17+ related entities in our dataset. Read more

$99K
Total Medicaid Paid
1,655
Total Claims
1,089
Beneficiaries
5
Codes Billed
2024-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOSTLEY, JESSIE (CREDENTIALING SPECIALIST)
NPI Enumeration Date03/22/2023

Related Entities

Other providers sharing the same authorized official: COSTLEY, JESSIE

ProviderCityStateTotal Paid
EVOLVE LIFE CENTERS IOP LLC PASADENA MD $6.56M
ADDICTION WELLNESS CENTER LLC QUANTICO MD $4.19M
BLUEPRINT RECOVERY CENTER, LLC CONCORD NH $3.29M
EVOLVE LIFE CENTERS IOP LLC PASADENA MD $3.28M
FAMILY AND CHILDRENS SERVICES OF CENTRAL MARYLAND INC BEL AIR MD $1.71M
EVOLVE LIFE CENTERS IOP LLC PASADENA MD $1.47M
ADDICTION WELLNESS CENTER IN LLC JEFFERSONVILLE IN $1.37M
FAMILY AND CHILDRENS SERVICES OF CENTRAL MARYLAND INC BALTIMORE MD $953K
FAMILY & CHILDRENS SERVICES OF CENTRAL MARYLAND INC COLUMBIA MD $684K
EVOLVE RESIDENTIAL, LLC PASADENA MD $606K
ADDICTION WELLNESS CENTER NH LLC MANCHESTER NH $513K
FAYETTE BHC LLC CONNERSVILLE IN $363K
EVOLVE HEALTH PARTNERS PASADENA MD $94K
BRIDGE MENTAL HEALTH LLC LAUREL MD $46K
MARYLAND WELLNESS AND RECOVERY, LLC ROCKVILLE MD $19K
ADDICTION WELLNESS CENTER VA WARRENTON VA $13K
ADDICTION WELLNESS CENTER OK LLC OKLAHOMA CITY OK $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,655 $99K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 597 336 $29K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 492 290 $29K
99215 Prolong outpt/office vis 205 108 $16K
90836 209 203 $13K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 152 152 $12K