WESTERN PACIFIC MED-CORP
NPI: 1750423620
· FULLERTON, CA 92832
· Methadone Clinic
· NPI assigned 02/13/2007
$1.18M
Total Medicaid Paid
Provider Details
| Authorized Official | HICKMAN, MARK (C.E.O.) |
| NPI Enumeration Date | 02/13/2007 |
Related Entities
Other providers sharing the same authorized official: HICKMAN, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,015 |
$1.17M |
| 2021 |
335 |
$3K |
| 2022 |
2,274 |
$4K |
| 2023 |
619 |
$3K |
| 2024 |
86 |
$4K |
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) |
8,238 |
2,917 |
$813K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
5,727 |
2,868 |
$358K |
| 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) |
364 |
73 |
$14K |