NPI: 1295224178 · FRANKLIN, NH 03235 · Methadone Clinic · NPI assigned 05/06/2018
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 | 05/06/2018 |
Other providers sharing the same authorized official: JACKSON, MARIA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,006 | $3K |
| 2019 | 35,831 | $277K |
| 2020 | 87,327 | $835K |
| 2021 | 67,116 | $641K |
| 2022 | 75,405 | $813K |
| 2023 | 70,848 | $969K |
| 2024 | 9,311 | $912K |
| 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) | 331,426 | 11,951 | $3.06M |
| 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) | 7,842 | 2,012 | $857K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 4,816 | 2,733 | $322K |
| H0001 | Alcohol and/or drug assessment | 834 | 666 | $110K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 625 | 584 | $36K |
| 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 | 927 | 438 | $34K |
| 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 | 376 | 276 | $13K |
| 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) | 166 | 108 | $9K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 80 | 65 | $4K |
| T1012 | Alcohol and/or substance abuse services, skills development | 606 | 541 | $4K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 63 | 60 | $3K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 60 | 16 | $1K |
| 86580 | 23 | 16 | $30.87 |