Metamorphosis Salt Lake City, INC.

Metamorphosis Salt Lake City, INC. was paid $102K by Medicaid between Jan 2018 and Nov 2018, across 1 billing code. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 100% of everything it billed.

33Billing provider infoMETAMORPHOSIS SALT LAKE CITY, INC.
SALT LAKE CITY, UT 84107

33aNPI1346495298assigned 11/19/2008

33bProvider typeMethadone Clinic

28Total paid$102K

24GClaims711

24DCodes billed1

24AFirst – last monthJan 2018 – Nov 2018

Compared with peers

Next to other Methadone Clinic providers in Utah

Rank by total paid#5 of 7

Median peer was paid$1.79M

This provider vs. median0.1×

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	711	$102K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	100%	711	688	$102K

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 officialCOSTLEY, JERRY (CHIEF OPERATING OFFICE)

Same official

Other billing entities under COSTLEY, JERRY

Full network →

Provider	Location	Paid
De Novo Services LLC	Salt Lake City, UT	$918K
Disabled Rights Action Committee	Salt Lake City, UT	$228K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.