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NPI 1629052196
NPI deactivated
1629052196
1629052196 was paid $20.00M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is H0010, Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) — 28% of everything it billed.
33Billing provider info1629052196
33aNPI1629052196
33bProvider type—
28Total paid$20.00M
24GClaims148,558
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
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 | 19,024 | $2.29M | |
| 2019 | 15,443 | $2.13M | |
| 2020 | 19,187 | $2.71M | |
| 2021 | 17,832 | $2.59M | |
| 2022 | 19,011 | $3.19M | |
| 2023 | 31,889 | $3.87M | |
| 2024incomplete | 26,172 | $3.23M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | 28% | 11,446 | 3,818 | $5.64M |
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem | 25% | 20,979 | 1,608 | $5.02M |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 16% | 10,508 | 1,061 | $3.21M |
| S9976 | Lodging, per diem, not otherwise classified | 7.4% | 42,722 | 5,440 | $1.48M |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 5.8% | 15,879 | 3,452 | $1.16M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.6% | 8,895 | 5,091 | $1.12M |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 4.1% | 3,454 | 2,574 | $829K |
| H2034 | Alcohol and/or drug abuse halfway house services, per diem | 3.9% | 26,754 | 2,268 | $787K |
| H0012 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) | <1% | 440 | 170 | $182K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,218 | 1,669 | $145K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,100 | 905 | $113K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 1,265 | 620 | $89K |
8 more codes
| H0001 | Alcohol and/or drug assessment | <1% | 484 | $83K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 687 | $70K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 294 | $29K |
| H0006 | Alcohol and/or drug services; case management | <1% | 873 | $27K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 208 | $12K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 133 | $10K |
| 97810 | <1% | 73 | $730.00 | |
| 97811 | <1% | 146 | $730.00 |
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.