Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Clear Skye Medical Holdings, LLC

Clear Skye Medical Holdings, LLC was paid $1.17M by Medicaid between Apr 2019 and Sep 2024, across 4 billing codes. Its largest line is 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) — 56% of everything it billed.

33Billing provider infoCLEAR SKYE MEDICAL HOLDINGS, LLC
CLINTON, SC 29325
33aNPI1821561788assigned 01/03/2019
33bProvider typeMethadone Clinic
28Total paid$1.17M
24GClaims11,124
24DCodes billed4
24AFirst – last monthApr 2019 – Sep 2024
Compared with peers

Next to other Methadone Clinic providers in South Carolina

Rank by total paid#7 of 9
Median peer was paid$1.41M
This provider vs. median0.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20191,346$152K
20202,591$291K
20212,766$309K
20222,173$221K
20231,491$131K
2024incomplete757$62K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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) 56% 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) 21% 1,841 418 $240K
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 12% 1,365 326 $136K
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) 12% 1,025 262 $135K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBAFNA, GAJENDRA (CO OWNER)
Parent organizationCLEAR SKYE MEDICAL HOLDINGS, LLC
Same official

Other billing entities under BAFNA, GAJENDRA

Full network →
ProviderLocationPaid
Recovery Concepts of Carolina Upst LLCEasley, SC$2.32M
Recovery Concepts LLCRidgeland, SC$812K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.