Clinic
Crossroads Treatment Center of Somerset, PSC
Crossroads Treatment Center of Somerset, PSC was paid $7.19M by Medicaid between Sep 2018 and Dec 2024, across 24 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 77% of everything it billed.
33Billing provider infoCROSSROADS TREATMENT CENTER OF SOMERSET, PSC
SOMERSET, KY 42503
SOMERSET, KY 42503
33aNPI1417452798assigned 03/28/2018
33bProvider typeMethadone Clinic
28Total paid$7.19M
24GClaims210,345
24DCodes billed24
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other Methadone Clinic providers in Kentucky
Rank by total paid#4 of 16
Median peer was paid$4.29M
This provider vs. median1.7×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MCCORMAC, RUPERT controls 20+ related entities in our dataset. Read more
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 | 1,579 | $24K | |
| 2019 | 69,560 | $589K | |
| 2020 | 65,315 | $1.54M | |
| 2021 | 16,515 | $1.26M | |
| 2022 | 16,859 | $1.23M | |
| 2023 | 20,222 | $1.41M | |
| 2024incomplete | 20,295 | $1.13M |
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) | 77% | 85,659 | 17,926 | $5.52M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 9.6% | 89,248 | 3,489 | $691K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 4.5% | 5,445 | 4,517 | $324K |
| 99408 | 1.7% | 7,626 | 614 | $123K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.5% | 2,304 | 2,119 | $107K |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 1.3% | 583 | 519 | $95K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.0% | 4,257 | 1,384 | $73K |
| H0033 | Oral medication administration, direct observation | <1% | 912 | 758 | $71K |
| 99441 | <1% | 5,647 | 1,391 | $63K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,558 | 1,089 | $56K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,552 | 1,248 | $31K |
| 82075 | <1% | 2,750 | 2,400 | $26K |
12 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 61 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 122 | $2K |
| 99406 | <1% | 293 | $1K | |
| 86580 | <1% | 321 | $1K | |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | <1% | 263 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 324 | $1K |
| 80305 | <1% | 331 | $778.46 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $533.66 |
| 81025 | <1% | 120 | $413.11 | |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | <1% | 389 | $156.59 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 175 | $0.00 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 392 | $0.00 |
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 officialMCCORMAC, RUPERT (CHIEF EXECUTIVE OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.