ADDICTION WELLNESS CENTER NH LLC

NPI: 1639866197 · MANCHESTER, NH 03101 · Adult Health Nurse Practitioner · NPI assigned 04/24/2023

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official COSTLEY, JESSIE controls 17+ related entities in our dataset. Read more

$513K

Total Medicaid Paid

6,377

Total Claims

4,035

Beneficiaries

Codes Billed

2024-04

First Month

2024-12

Last Month

Provider Details

Authorized Official	COSTLEY, JESSIE (CREDENTIALING SPECIALIST)
NPI Enumeration Date	04/24/2023

Other providers sharing the same authorized official: COSTLEY, JESSIE

Provider	City	State	Total Paid
EVOLVE LIFE CENTERS IOP LLC	PASADENA	MD	$6.56M
ADDICTION WELLNESS CENTER LLC	QUANTICO	MD	$4.19M
BLUEPRINT RECOVERY CENTER, LLC	CONCORD	NH	$3.29M
EVOLVE LIFE CENTERS IOP LLC	PASADENA	MD	$3.28M
FAMILY AND CHILDRENS SERVICES OF CENTRAL MARYLAND INC	BEL AIR	MD	$1.71M
EVOLVE LIFE CENTERS IOP LLC	PASADENA	MD	$1.47M
ADDICTION WELLNESS CENTER IN LLC	JEFFERSONVILLE	IN	$1.37M
FAMILY AND CHILDRENS SERVICES OF CENTRAL MARYLAND INC	BALTIMORE	MD	$953K
FAMILY & CHILDRENS SERVICES OF CENTRAL MARYLAND INC	COLUMBIA	MD	$684K
EVOLVE RESIDENTIAL, LLC	PASADENA	MD	$606K
FAYETTE BHC LLC	CONNERSVILLE	IN	$363K
ADDICTION WELLNESS CENTER OH LLC	TOLEDO	OH	$99K
EVOLVE HEALTH PARTNERS	PASADENA	MD	$94K
BRIDGE MENTAL HEALTH LLC	LAUREL	MD	$46K
MARYLAND WELLNESS AND RECOVERY, LLC	ROCKVILLE	MD	$19K
ADDICTION WELLNESS CENTER VA	WARRENTON	VA	$13K
ADDICTION WELLNESS CENTER OK LLC	OKLAHOMA CITY	OK	$6K

Year	Claims	Total Paid
2024	6,377	$513K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	2,482	1,352	$258K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	640	622	$97K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	2,301	1,267	$73K
99215	Prolong outpt/office vis	349	205	$46K
90836		532	517	$27K
99205	Prolong outpt/office vis	73	72	$12K