BUFFALO VALLEY, INC.
NPI: 1710074083
· HOHENWALD, TN 38462
· Substance Use Disorder Rehabilitation Clinic/Center
· NPI assigned 10/06/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H0015 with only 1 total codes billed. Highly concentrated billing profile.
$6.18M
Total Medicaid Paid
Provider Details
| Authorized Official | RISNER, JERRY (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 10/06/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15,052 |
$1.23M |
| 2019 |
15,861 |
$1.30M |
| 2020 |
11,235 |
$884K |
| 2021 |
9,930 |
$777K |
| 2022 |
10,299 |
$978K |
| 2023 |
7,081 |
$713K |
| 2024 |
2,855 |
$293K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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 |
72,313 |
8,224 |
$6.18M |