CODAC INC
NPI: 1679799217
· SAUNDERSTOWN, RI 02874
· Peer Specialist
· NPI assigned 04/18/2007
$194K
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 |
| 2018 |
1,351 |
$113K |
| 2019 |
1,606 |
$61K |
| 2020 |
532 |
$17K |
| 2023 |
53 |
$3K |
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) |
2,194 |
448 |
$124K |
| H0037 |
Community psychiatric supportive treatment program, per diem |
353 |
348 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$476.84 |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
797 |
140 |
$0.00 |
| H0006 |
Alcohol and/or drug services; case management |
185 |
49 |
$0.00 |