Upturn Community Health Systems LLC

Upturn Community Health Systems LLC was paid $1.53M by Medicaid between Apr 2022 and Dec 2024, across 2 billing codes. Its largest line is H0015, Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education — 97% of everything it billed.

33Billing provider infoUPTURN COMMUNITY HEALTH SYSTEMS LLC
WINDSOR MILL, MD 21244

33aNPI1699447425assigned 09/30/2021

33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center

28Total paid$1.53M

24GClaims9,228

24DCodes billed2

24AFirst – last monthApr 2022 – Dec 2024

Compared with peers

Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Maryland

Rank by total paid#68 of 194

Median peer was paid$593K

This provider vs. median2.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration97% of spending on code H0015 with only 2 total codes billed. Highly concentrated billing profile.

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
2022	2,370	$398K
2023	3,210	$551K
2024incomplete	3,648	$578K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education	97%	8,377	658	$1.48M
H0005	Alcohol and/or drug services; group counseling by a clinician	3.3%	851	158	$50K

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 officialBUTLER, TERRI (OWNER)

Same official

Other billing entities under BUTLER, TERRI

Full network →

Provider	Location	Paid
Desert Pain Care Medicine Group INC	Palm Springs, CA	$316K
Upturn Community Health Systems	Windsor Mill, MD	$13K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.