VICTORY CLINICAL SERVICES II LLC
NPI: 1497798284
· SOUTH BEND, IN 46619
· Health Service Psychologist
· NPI assigned 06/13/2006
$9.15M
Total Medicaid Paid
Provider Details
| Authorized Official | BLANKENSHIP, DAVID (ADMINISTRATIVE DIRECTOR) |
| NPI Enumeration Date | 06/13/2006 |
Related Entities
Other providers sharing the same authorized official: BLANKENSHIP, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
41,926 |
$269K |
| 2019 |
55,250 |
$1.04M |
| 2020 |
57,489 |
$1.28M |
| 2021 |
62,575 |
$1.35M |
| 2022 |
63,031 |
$1.38M |
| 2023 |
45,136 |
$1.92M |
| 2024 |
12,222 |
$1.91M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
314,742 |
15,806 |
$6.08M |
| 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) |
19,186 |
4,309 |
$2.99M |
| 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 |
2,716 |
1,069 |
$69K |
| 80306 |
|
967 |
383 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
18 |
12 |
$2K |