Medicaid Provider Spending

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

EAST TENNESSEE ADDICTION SPECIALISTS

NPI: 1770080632 · MARYVILLE, TN 37804 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 04/09/2018

$6.46M
Total Medicaid Paid
58,679
Total Claims
34,965
Beneficiaries
17
Codes Billed
2019-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTALCUP, CLAY (COOWNER)
NPI Enumeration Date04/09/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 385 $9K
2020 2,591 $123K
2021 13,349 $1.45M
2022 14,368 $1.52M
2023 14,070 $1.56M
2024 13,916 $1.80M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) 14,474 9,450 $3.04M
H0033 Oral medication administration, direct observation 10,777 7,351 $1.71M
H0014 Alcohol and/or drug services; ambulatory detoxification 3,699 1,908 $1.01M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 3,186 135 $360K
80305 16,867 9,899 $100K
H2010 Comprehensive medication services, per 15 minutes 836 442 $60K
90832 Psychotherapy, 30 minutes with patient 2,081 1,444 $57K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,278 659 $38K
H0049 Alcohol and/or drug screening 1,471 847 $32K
G2087 Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month 1,836 1,521 $16K
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 146 12 $15K
84703 1,256 776 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 131 105 $5K
81025 585 376 $2K
90792 Psychiatric diagnostic evaluation with medical services 14 13 $846.43
99205 Prolong outpt/office vis 15 12 $536.20
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 27 15 $476.05