CODAC INC
NPI: 1629632609
· PAWTUCKET, RI 02860
· Peer Specialist
· NPI assigned 04/25/2019
$153K
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 |
|---|
| 2020 |
103 |
$0.00 |
| 2022 |
918 |
$33K |
| 2023 |
1,558 |
$72K |
| 2024 |
1,483 |
$48K |
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) |
2,764 |
580 |
$102K |
| H0037 |
Community psychiatric supportive treatment program, per diem |
336 |
286 |
$51K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
859 |
242 |
$0.00 |
| 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) |
103 |
24 |
$0.00 |