CODAC INC
NPI: 1295731321
· CRANSTON, RI 02910
· Substance Use Disorder Rehabilitation Clinic/Center
· NPI assigned 06/23/2005
$155K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: BOURDEAU, ALISHA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,122 |
$58K |
| 2019 |
489 |
$21K |
| 2020 |
398 |
$15K |
| 2024 |
471 |
$62K |
Billing Codes
| 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) |
1,985 |
742 |
$126K |
| 90837 |
Psychotherapy, 53 minutes with patient |
320 |
140 |
$16K |
| H0037 |
Community psychiatric supportive treatment program, per diem |
32 |
32 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
96 |
87 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$1K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
33 |
13 |
$0.00 |