CLEAR SKYE MEDICAL HOLDINGS, LLC
NPI: 1821561788
· CLINTON, SC 29325
· Methadone Clinic
· NPI assigned 01/03/2019
$1.17M
Total Medicaid Paid
Provider Details
| Authorized Official | BAFNA, GAJENDRA (CO OWNER) |
| Parent Organization | CLEAR SKYE MEDICAL HOLDINGS, LLC |
| NPI Enumeration Date | 01/03/2019 |
Related Entities
Other providers sharing the same authorized official: BAFNA, GAJENDRA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,346 |
$152K |
| 2020 |
2,591 |
$291K |
| 2021 |
2,766 |
$309K |
| 2022 |
2,173 |
$221K |
| 2023 |
1,491 |
$131K |
| 2024 |
757 |
$62K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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) |
6,893 |
1,628 |
$654K |
| G2068 |
Medication assisted treatment, buprenorphine (oral); 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) |
1,841 |
418 |
$240K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
1,365 |
326 |
$136K |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
1,025 |
262 |
$135K |