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

Metro Treatment of Gary LP

Metro Treatment of Gary LP was paid $16.50M by Medicaid between Jun 2018 and Nov 2024, across 20 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 63% of everything it billed.

33Billing provider infoMETRO TREATMENT OF GARY LP
GARY, IN 46403
33aNPI1841412996assigned 05/02/2007
33bProvider typeClinic Pharmacy
28Total paid$16.50M
24GClaims684,152
24DCodes billed20
24AFirst – last monthJun 2018 – Nov 2024

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official CALL, SCOTT controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
201879,066$444K
2019121,203$1.57M
2020127,526$2.25M
2021131,160$2.53M
2022130,574$2.65M
202378,766$3.87M
2024incomplete15,857$3.18M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 63% 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) 34% 28,542 6,333 $5.58M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 1,933 1,280 $122K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity <1% 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% 1,945 1,265 $99K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 704 507 $56K
90792 Psychiatric diagnostic evaluation with medical services <1% 337 243 $55K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 492 402 $50K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient <1% 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% 1,135 520 $39K
90853 Group psychotherapy (other than of a multiple-family group) <1% 464 241 $10K
H0038 Self-help/peer services, per 15 minutes <1% 368 214 $7K
8 more codes
99205 Prolong outpt/office vis <1% 56 $5K
99213 Doctor's office visit, returning patient (routine) <1% 64 $4K
99215 Doctor's office visit, returning patient (complex) <1% 28 $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 <1% 28 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 79 $1K
86580 <1% 147 $1K
T1016 Case management, each 15 minutes <1% 886 $78.42
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 0% 263 $0.00

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 officialCALL, SCOTT (VP, MANAGED CARE)
Same official

Other billing entities under CALL, SCOTT

Full network →
ProviderLocationPaid
Metro Treatment of Virginia LPNorth Chesterfield, VA$16.70M
Metro Treatment of Maryland LPHagerstown, MD$16.55M
Metro Treatment of Maine LPBangor, ME$16.50M
Metro Treatment of Virginia LPRichmond, VA$15.03M
Metro Treatment of Kentucky, LPCovington, KY$10.32M
Metro Treatment of Colorado LPGrand Junction, CO$8.21M
Metro Treatment of Virginia LPHarrisonburg, VA$7.78M
Metro Treatment of Oregon LPPortland, OR$6.28M
Metro Treatment of Minnesota LPRochester, MN$5.31M
Metro Treatment of North Carolina, LPHickory, NC$5.31M
Metro Treatment of North Carolina L PFayetteville, NC$5.07M
Metro Treatment of Florida, LPDaytona Beach, FL$4.65M
Metro Treatment of North Carolina L PGastonia, NC$4.47M
Metro Treatment of Florida, LPPinellas Park, FL$3.71M
Metro Treatment of Florida, LPTampa, FL$3.57M
Metro Treatment of Minnesota LPRoseville, MN$3.31M
Metro Treatment of Minnesota LPBurnsville, MN$3.21M
Metro Treatment of Minnesota LPSaint Cloud, MN$3.18M
Metro Treatment of North Carolina L PMorganton, NC$2.84M
Metro Treatment of North Carolina L PGreensboro, NC$2.34M

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