Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UPTURN COMMUNITY HEALTH SYSTEMS LLC

NPI: 1699447425 · WINDSOR MILL, MD 21244 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 09/30/2021

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

97% of spending on code H0015 with only 2 total codes billed. Highly concentrated billing profile.

$1.53M
Total Medicaid Paid
9,228
Total Claims
816
Beneficiaries
2
Codes Billed
2022-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBUTLER, TERRI (OWNER)
NPI Enumeration Date09/30/2021

Related Entities

Other providers sharing the same authorized official: BUTLER, TERRI

ProviderCityStateTotal Paid
DESERT PAIN CARE MEDICINE GROUP INC PALM SPRINGS CA $316K
UPTURN COMMUNITY HEALTH SYSTEMS WINDSOR MILL MD $13K

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 8,377 658 $1.48M
H0005 Alcohol and/or drug services; group counseling by a clinician 851 158 $50K