MARTINSBURG INSTITUTE INC
NPI: 1629290127
· MARTINSBURG, WV 25404
· Methadone Clinic
· NPI assigned 05/03/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H0020 with only 2 total codes billed. Highly concentrated billing profile.
$11.39M
Total Medicaid Paid
Provider Details
| Authorized Official | BERCH, NEAL (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 05/03/2007 |
Related Entities
Other providers sharing the same authorized official: BERCH, NEAL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,628 |
$994K |
| 2019 |
13,048 |
$1.36M |
| 2020 |
18,351 |
$1.71M |
| 2021 |
18,393 |
$1.85M |
| 2022 |
19,257 |
$1.92M |
| 2023 |
19,026 |
$1.91M |
| 2024 |
15,853 |
$1.65M |
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) |
113,516 |
25,830 |
$11.39M |
| 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) |
40 |
12 |
$0.00 |