NPI: 1396079414 · SOUTH BOSTON, MA 02127 · 261Q00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,392 | $2.39M |
| 2019 | 32,298 | $5.06M |
| 2020 | 35,308 | $5.68M |
| 2021 | 32,272 | $6.73M |
| 2022 | 33,858 | $7.92M |
| 2023 | 45,850 | $10.69M |
| 2024 | 46,163 | $12.32M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0019 | Alcohol and/or drug services | 134,434 | 6,611 | $20.08M |
| H0011 | Alcohol and/or drug services | 30,587 | 7,136 | $13.57M |
| H0010 | Alcohol and/or drug services | 35,108 | 4,264 | $12.29M |
| H0015 | Alcohol and/or drug services | 17,397 | 2,750 | $1.73M |
| H2016 | Comp comm supp svc, per diem | 4,475 | 3,298 | $1.73M |
| 90834 | 9,488 | 6,147 | $844K | |
| 90791 | 1,842 | 1,837 | $226K | |
| 99214 | 1,236 | 1,018 | $109K | |
| 99215 | Prolong outpt/office vis | 685 | 659 | $81K |
| 99205 | Prolong outpt/office vis | 254 | 254 | $43K |
| H0004 | Alcohol and/or drug services | 1,020 | 714 | $39K |
| 90853 | 1,116 | 588 | $34K | |
| 90832 | 427 | 358 | $21K | |
| 99404 | 12 | 12 | $2K | |
| 90882 | 48 | 30 | $1K | |
| 0011A | 12 | 12 | $406.68 |