NP / PA
Addiction Wellness Center NH LLC
Addiction Wellness Center NH LLC was paid $513K by Medicaid between Apr 2024 and Dec 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoADDICTION WELLNESS CENTER NH LLC
MANCHESTER, NH 03101
MANCHESTER, NH 03101
33aNPI1639866197assigned 04/24/2023
33bProvider typeAdult Health Nurse Practitioner
28Total paid$513K
24GClaims6,377
24DCodes billed6
24AFirst – last monthApr 2024 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official COSTLEY, JESSIE controls 17+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2024incomplete | 6,377 | $513K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 50% | 2,482 | 1,352 | $258K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 19% | 640 | 622 | $97K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 14% | 2,301 | 1,267 | $73K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.0% | 349 | 205 | $46K |
| 90836 | 5.2% | 532 | 517 | $27K | |
| 99205 | Prolong outpt/office vis | 2.4% | 73 | 72 | $12K |
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 officialCOSTLEY, JESSIE (CREDENTIALING SPECIALIST)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.