75 LINDALL STREET OPCO LLC
NPI: 1790150548
· DANVERS, MA 01923
· Substance Use Disorder Rehabilitation Clinic/Center
· NPI assigned 12/04/2015
$7.28M
Total Medicaid Paid
Provider Details
| Authorized Official | CRUZ, SERGIO (CFO) |
| NPI Enumeration Date | 12/04/2015 |
Related Entities
Other providers sharing the same authorized official: CRUZ, SERGIO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
1,176 |
$254K |
| 2021 |
1,273 |
$272K |
| 2022 |
2,013 |
$1.11M |
| 2023 |
2,081 |
$2.00M |
| 2024 |
2,060 |
$3.65M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
2,293 |
383 |
$5.93M |
| 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 |
5,626 |
894 |
$1.17M |
| 90791 |
Psychiatric diagnostic evaluation |
360 |
353 |
$104K |
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
217 |
41 |
$65K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
107 |
38 |
$7K |