CODAC INC
NPI: 1558712034
· PROVIDENCE, RI 02904
· Public Health or Welfare Agency
· NPI assigned 06/27/2016
$310K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: BOURDEAU, ALISHA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
3,442 |
$160K |
| 2019 |
3,287 |
$116K |
| 2020 |
1,067 |
$34K |
| 2021 |
49 |
$0.00 |
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) |
4,927 |
996 |
$249K |
| H0037 |
Community psychiatric supportive treatment program, per diem |
356 |
343 |
$61K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
2,184 |
303 |
$0.00 |
| H0006 |
Alcohol and/or drug services; case management |
378 |
145 |
$0.00 |