Agency
D & L Wellness INC
D & L Wellness INC was paid $129K by Medicaid between Nov 2018 and Nov 2022, across 9 billing codes. Its largest line is H0014, Alcohol and/or drug services; ambulatory detoxification — 51% of everything it billed.
33Billing provider infoD & L WELLNESS INC
JACKSON, TN 38305
JACKSON, TN 38305
33aNPI1619421567assigned 08/09/2016
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$129K
24GClaims3,171
24DCodes billed9
24AFirst – last monthNov 2018 – Nov 2022
Compared with peers
Next to other Community/Behavioral Health Agency providers in Tennessee
Rank by total paid#24 of 47
Median peer was paid$129K
This provider vs. median1.0×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 99 | $3K | |
| 2019 | 1,101 | $44K | |
| 2020 | 1,216 | $62K | |
| 2021 | 533 | $12K | |
| 2022 | 222 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0014 | Alcohol and/or drug services; ambulatory detoxification | 51% | 267 | 136 | $66K |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 15% | 125 | 65 | $20K |
| H0033 | Oral medication administration, direct observation | 15% | 135 | 81 | $20K |
| 80306 | 13% | 1,632 | 823 | $16K | |
| 81025 | 2.5% | 887 | 408 | $3K | |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | <1% | 25 | 14 | $1K |
| 99354 | <1% | 21 | 12 | $1K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 27 | 16 | $996.87 |
| H0049 | Alcohol and/or drug screening | <1% | 52 | 30 | $216.00 |
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 officialSPARKS, WILLIAM (OWNER)