Medicaid Provider Spending

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

METRO TREATMENT OF GARY LP

NPI: 1841412996 · GARY, IN 46403 · Clinic Pharmacy · NPI assigned 05/02/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CALL, SCOTT controls 20+ related entities in our dataset. Read more

$16.50M
Total Medicaid Paid
684,152
Total Claims
35,089
Beneficiaries
20
Codes Billed
2018-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCALL, SCOTT (VP, MANAGED CARE)
NPI Enumeration Date05/02/2007

Related Entities

Other providers sharing the same authorized official: CALL, SCOTT

ProviderCityStateTotal Paid
METRO TREATMENT OF VIRGINIA LP NORTH CHESTERFIELD VA $16.70M
METRO TREATMENT OF MARYLAND LP HAGERSTOWN MD $16.55M
METRO TREATMENT OF MAINE LP BANGOR ME $16.50M
METRO TREATMENT OF VIRGINIA LP RICHMOND VA $15.03M
METRO TREATMENT OF KENTUCKY, LP COVINGTON KY $10.32M
METRO TREATMENT OF COLORADO LP GRAND JUNCTION CO $8.21M
METRO TREATMENT OF VIRGINIA LP HARRISONBURG VA $7.78M
METRO TREATMENT OF OREGON LP PORTLAND OR $6.28M
METRO TREATMENT OF MINNESOTA LP ROCHESTER MN $5.31M
METRO TREATMENT OF NORTH CAROLINA, LP HICKORY NC $5.31M
METRO TREATMENT OF NORTH CAROLINA L P FAYETTEVILLE NC $5.07M
METRO TREATMENT OF FLORIDA, LP DAYTONA BEACH FL $4.65M
METRO TREATMENT OF NORTH CAROLINA L P GASTONIA NC $4.47M
METRO TREATMENT OF FLORIDA, LP PINELLAS PARK FL $3.71M
METRO TREATMENT OF FLORIDA, LP TAMPA FL $3.57M
METRO TREATMENT OF MINNESOTA LP ROSEVILLE MN $3.31M
METRO TREATMENT OF MINNESOTA LP BURNSVILLE MN $3.21M
METRO TREATMENT OF MINNESOTA LP SAINT CLOUD MN $3.18M
METRO TREATMENT OF NORTH CAROLINA L P MORGANTON NC $2.84M
METRO TREATMENT OF NORTH CAROLINA L P GREENSBORO NC $2.34M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 79,066 $444K
2019 121,203 $1.57M
2020 127,526 $2.25M
2021 131,160 $2.53M
2022 130,574 $2.65M
2023 78,766 $3.87M
2024 15,857 $3.18M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 645,036 21,627 $10.32M
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) 28,542 6,333 $5.58M
90832 Psychotherapy, 30 minutes with patient 1,933 1,280 $122K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,322 1,038 $102K
G2077 Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code 1,945 1,265 $99K
90834 Psychotherapy, 45 minutes with patient 704 507 $56K
90792 Psychiatric diagnostic evaluation with medical services 337 243 $55K
90791 Psychiatric diagnostic evaluation 492 402 $50K
90837 Psychotherapy, 53 minutes with patient 323 268 $41K
G2078 Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure 1,135 520 $39K
90853 Group psychotherapy (other than of a multiple-family group) 464 241 $10K
H0038 Self-help/peer services, per 15 minutes 368 214 $7K
99205 Prolong outpt/office vis 56 49 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 64 58 $4K
99215 Prolong outpt/office vis 28 27 $4K
G2076 Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code 28 25 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 79 51 $1K
86580 147 119 $1K
T1016 Case management, each 15 minutes 886 628 $78.42
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 263 194 $0.00