Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › RI › EAST PROVIDENCE › CODAC INC

CODAC INC

NPI: 1376769919 · EAST PROVIDENCE, RI 02914 · Primary Care Clinic/Center · NPI assigned 04/18/2007

$353K
Total Medicaid Paid
5,064
Total Claims
1,897
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOURDEAU, ALISHA (CFO)
NPI Enumeration Date04/18/2007

Related Entities

Other providers sharing the same authorized official: BOURDEAU, ALISHA

ProviderCityStateTotal Paid
CODAC INC CRANSTON RI $54.40M
CODAC INC PROVIDENCE RI $2.74M
CODAC INC PROVIDENCE RI $310K
CODAC INC SAUNDERSTOWN RI $194K
CODAC INC NEWPORT RI $188K
CODAC INC CRANSTON RI $155K
CODAC INC PAWTUCKET RI $153K
CODAC INC CRANSTON RI $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,319 $204K
2019 799 $37K
2020 193 $9K
2021 54 $522.02
2022 105 $5K
2023 661 $33K
2024 933 $65K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 3,796 999 $222K
H0037 Community psychiatric supportive treatment program, per diem 425 424 $96K
90834 Psychotherapy, 45 minutes with patient 370 219 $21K
90837 Psychotherapy, 53 minutes with patient 146 94 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 166 134 $7K
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 161 27 $0.00