IMPERIAL VALLEY MEDICAL CLINIC, INC
NPI: 1730269622
· CALEXICO, CA 92231
· Methadone Clinic
· NPI assigned 10/16/2006
$224K
Total Medicaid Paid
Provider Details
| Authorized Official | APODACA, NORMA (EXECUTIVE PROGRAM DIRECTOR) |
| NPI Enumeration Date | 10/16/2006 |
Related Entities
Other providers sharing the same authorized official: APODACA, NORMA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
12,878 |
$223K |
| 2024 |
52 |
$1K |
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) |
11,783 |
431 |
$154K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,095 |
417 |
$69K |
| G2067 |
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) |
52 |
13 |
$1K |