NPI: 1477136695 · MANCHESTER, NH 03102 · Community/Behavioral Health Agency · NPI assigned 05/05/2021
Authorized official JACKSON, MARIA controls 20+ related entities in our dataset. Read more
| Authorized Official | JACKSON, MARIA (CFO) |
| Parent Organization | METRO TREATMENT OF NEW HAMPSHIRE, LP |
| NPI Enumeration Date | 05/05/2021 |
Other providers sharing the same authorized official: JACKSON, MARIA
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12,879 | $98K |
| 2023 | 41,779 | $588K |
| 2024 | 8,416 | $945K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 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) | 7,026 | 2,426 | $886K |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 51,599 | 2,413 | $485K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2,083 | 1,371 | $124K |
| H0001 | Alcohol and/or drug assessment | 471 | 371 | $52K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 1,117 | 664 | $43K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 148 | 136 | $14K |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code | 197 | 189 | $11K |
| 99205 | Prolong outpt/office vis | 48 | 45 | $8K |
| G2074 | Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) | 76 | 63 | $5K |
| T1012 | Alcohol and/or substance abuse services, skills development | 234 | 186 | $1K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12 | 12 | $951.12 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 12 | 12 | $538.32 |
| 86580 | 51 | 44 | $114.66 |