Physician
Road to Recovery, LLC
Road to Recovery, LLC was paid $1.16M by Medicaid between Sep 2018 and Oct 2020, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoROAD TO RECOVERY, LLC
RIPLEY, WV 25271
RIPLEY, WV 25271
33aNPI1316438773assigned 05/22/2018
33bProvider typeAddiction Medicine (Family Medicine) Physician
28Total paid$1.16M
24GClaims31,668
24DCodes billed13
24AFirst – last monthSep 2018 – Oct 2020
Compared with peers
Next to other Addiction Medicine (Family Medicine) Physician providers in West Virginia
Rank by total paid#7 of 12
Median peer was paid$1.16M
This provider vs. median1.0×
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.
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 | 1,677 | $61K | |
| 2019 | 6,733 | $300K | |
| 2020 | 23,258 | $803K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 9,079 | 3,403 | $420K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 19% | 5,891 | 2,087 | $223K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 19% | 4,527 | 2,654 | $215K |
| 99401 | 7.2% | 3,558 | 1,670 | $84K | |
| 99406 | 6.1% | 3,445 | 1,811 | $71K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.5% | 552 | 426 | $53K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.9% | 1,757 | 945 | $46K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2.7% | 1,747 | 1,002 | $31K |
| 84703 | <1% | 714 | 648 | $10K | |
| 80305 | <1% | 208 | 125 | $6K | |
| 99407 | <1% | 138 | 134 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 13 | 13 | $1K |
1 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 39 | $511.17 |
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.
From NPPES
Who's on the registration
Authorized officialCALES, S (MANAGER/PARTNER)