Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › UT › SALT LAKE CITY › METAMORPHOSIS SALT LAKE CITY, INC.

METAMORPHOSIS SALT LAKE CITY, INC.

NPI: 1346495298 · SALT LAKE CITY, UT 84107 · Methadone Clinic · NPI assigned 11/19/2008

$102K
Total Medicaid Paid
711
Total Claims
688
Beneficiaries
1
Codes Billed
2018-01
First Month
2018-11
Last Month

Provider Details

Authorized OfficialCOSTLEY, JERRY (CHIEF OPERATING OFFICE)
NPI Enumeration Date11/19/2008

Related Entities

Other providers sharing the same authorized official: COSTLEY, JERRY

ProviderCityStateTotal Paid
DE NOVO SERVICES LLC SALT LAKE CITY UT $918K
DISABLED RIGHTS ACTION COMMITTEE SALT LAKE CITY UT $228K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 711 $102K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 711 688 $102K