SPECTRUM HEALTH SYSTEMS, INC
NPI: 1487608485
· WORCESTER, MA 01605
· 261QR0405X
$187.39M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,428,099 |
$22.68M |
| 2019 |
1,460,084 |
$23.74M |
| 2020 |
1,408,741 |
$23.12M |
| 2021 |
1,362,967 |
$22.74M |
| 2022 |
1,405,650 |
$26.74M |
| 2023 |
246,787 |
$38.97M |
| 2024 |
167,086 |
$29.41M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H0020 |
Alcohol and/or drug services |
6,764,011 |
290,490 |
$92.10M |
| G2067 |
Med assist tx meth wk |
414,280 |
122,182 |
$57.92M |
| H0019 |
Alcohol and/or drug services |
113,335 |
5,143 |
$15.74M |
| H0010 |
Alcohol and/or drug services |
22,079 |
2,351 |
$7.37M |
| H0011 |
Alcohol and/or drug services |
14,678 |
3,277 |
$6.36M |
| H0004 |
Alcohol and/or drug services |
41,155 |
27,403 |
$2.25M |
| H0005 |
Alcohol and/or drug services |
47,217 |
20,731 |
$1.40M |
| 90791 |
|
7,968 |
7,833 |
$974K |
| G2074 |
Med assist tx no drug |
8,868 |
6,146 |
$930K |
| G2078 |
Take-home meth |
19,513 |
11,381 |
$627K |
| 99213 |
|
8,957 |
7,975 |
$593K |
| 99214 |
|
4,363 |
4,012 |
$439K |
| 90837 |
|
2,682 |
1,893 |
$221K |
| G2076 |
Intake act w/med exam |
1,308 |
1,296 |
$188K |
| H2015 |
Comp comm supp svc, 15 min |
5,345 |
3,334 |
$165K |
| 90832 |
|
1,028 |
834 |
$39K |
| 90853 |
|
1,164 |
571 |
$28K |
| 90834 |
|
194 |
163 |
$15K |
| 90882 |
|
544 |
505 |
$12K |
| G2077 |
Periodic assessment |
225 |
224 |
$3K |
| H0015 |
Alcohol and/or drug services |
34 |
12 |
$3K |
| 99203 |
|
24 |
24 |
$2K |
| G2080 |
Add 30 mins counsel |
442 |
401 |
$1K |