Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TRANSITIONS, INC.

NPI: 1528466877 · ERLANGER, KY 41017 · Substance Abuse Rehabilitation Facility · NPI assigned 12/18/2014

$31.35M
Total Medicaid Paid
192,659
Total Claims
26,005
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROA, HEATHER (DIRECTOR OF INTAKE AND QI)
NPI Enumeration Date12/18/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 21,643 $1.31M
2019 58,872 $5.75M
2020 43,388 $7.69M
2021 22,532 $5.40M
2022 20,830 $4.86M
2023 14,261 $3.44M
2024 11,133 $2.90M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0011 Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) 75,779 6,151 $19.58M
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 50,912 2,782 $7.10M
H2036 Alcohol and/or other drug treatment program, per diem 6,513 602 $1.24M
H2034 Alcohol and/or drug abuse halfway house services, per diem 3,260 353 $833K
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 9,747 1,458 $832K
H0038 Self-help/peer services, per 15 minutes 27,990 4,054 $670K
T2023 Targeted case management; per month 2,744 1,936 $552K
90791 Psychiatric diagnostic evaluation 6,497 5,032 $337K
90837 Psychotherapy, 53 minutes with patient 2,238 726 $79K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 1,151 968 $53K
H0001 Alcohol and/or drug assessment 1,019 613 $36K
90832 Psychotherapy, 30 minutes with patient 1,255 473 $25K
90853 Group psychotherapy (other than of a multiple-family group) 960 295 $10K
90834 Psychotherapy, 45 minutes with patient 275 168 $9K
S9446 Patient education, not otherwise classified, non-physician provider, group, per session 2,319 394 $1K