Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Recovery Concepts of Carolina Upst LLC

Recovery Concepts of Carolina Upst LLC was paid $2.32M by Medicaid between Jul 2019 and Sep 2024, across 4 billing codes. Its largest line is 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) — 71% of everything it billed.

33Billing provider infoRECOVERY CONCEPTS OF CAROLINA UPST LLC
EASLEY, SC 29640
33aNPI1619032034assigned 12/26/2006
33bProvider typeMethadone Clinic
28Total paid$2.32M
24GClaims23,014
24DCodes billed4
24AFirst – last monthJul 2019 – Sep 2024
Compared with peers

Next to other Methadone Clinic providers in South Carolina

Rank by total paid#2 of 9
Median peer was paid$1.41M
This provider vs. median1.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20191,295$132K
20203,673$387K
20214,430$477K
20224,836$517K
20235,393$509K
2024incomplete3,387$297K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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) 71% 17,216 3,904 $1.65M
G2068 Medication assisted treatment, buprenorphine (oral); 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) 15% 2,788 648 $357K
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 12% 2,810 676 $286K
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) 1.2% 200 50 $27K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBAFNA, GAJENDRA (PIC)
Same official

Other billing entities under BAFNA, GAJENDRA

Full network →
ProviderLocationPaid
Clear Skye Medical Holdings, LLCClinton, SC$1.17M
Recovery Concepts LLCRidgeland, SC$812K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.