NPI: 1699362285 · RICHLAND, WA 99352 · Clinic/Center · NPI assigned 12/29/2020
| Authorized Official | JORGENSEN, DANA (CONTRACT MANAGER) |
| Parent Organization | ORTC, LLC |
| NPI Enumeration Date | 12/29/2020 |
Other providers sharing the same authorized official: JORGENSEN, DANA
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 14,018 | $788K |
| 2022 | 23,217 | $1.51M |
| 2023 | 36,417 | $1.96M |
| 2024 | 33,694 | $1.98M |
| 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) | 72,875 | 7,803 | $4.43M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 11,232 | 6,191 | $788K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 4,307 | 2,739 | $440K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 6,842 | 4,418 | $355K |
| H0001 | Alcohol and/or drug assessment | 902 | 886 | $130K |
| T1017 | Targeted case management, each 15 minutes | 2,239 | 1,032 | $26K |
| 81025 | 3,082 | 1,568 | $22K | |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 204 | 75 | $16K |
| 93000 | 981 | 935 | $8K | |
| 80305 | 949 | 588 | $5K | |
| 86580 | 761 | 722 | $5K | |
| 96164 | 69 | 49 | $1K | |
| 84702 | 74 | 63 | $813.89 | |
| 96165 | 40 | 28 | $494.28 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 31 | 31 | $405.87 |
| S0109 | Methadone, oral, 5 mg | 2,758 | 566 | $161.04 |