NPI: 1851838643 · PASADENA, MD 21122 · Substance Abuse Rehabilitation Facility · NPI assigned 01/31/2017
Authorized official COSTLEY, JESSIE controls 17+ related entities in our dataset. Read more
| Authorized Official | COSTLEY, JESSIE (ADMINISTRATOR) |
| NPI Enumeration Date | 01/31/2017 |
Other providers sharing the same authorized official: COSTLEY, JESSIE
| Provider | City | State | Total Paid |
|---|---|---|---|
| ADDICTION WELLNESS CENTER LLC | QUANTICO | MD | $4.19M |
| BLUEPRINT RECOVERY CENTER, LLC | CONCORD | NH | $3.29M |
| EVOLVE LIFE CENTERS IOP LLC | PASADENA | MD | $3.28M |
| FAMILY AND CHILDRENS SERVICES OF CENTRAL MARYLAND INC | BEL AIR | MD | $1.71M |
| EVOLVE LIFE CENTERS IOP LLC | PASADENA | MD | $1.47M |
| ADDICTION WELLNESS CENTER IN LLC | JEFFERSONVILLE | IN | $1.37M |
| FAMILY AND CHILDRENS SERVICES OF CENTRAL MARYLAND INC | BALTIMORE | MD | $953K |
| FAMILY & CHILDRENS SERVICES OF CENTRAL MARYLAND INC | COLUMBIA | MD | $684K |
| EVOLVE RESIDENTIAL, LLC | PASADENA | MD | $606K |
| ADDICTION WELLNESS CENTER NH LLC | MANCHESTER | NH | $513K |
| FAYETTE BHC LLC | CONNERSVILLE | IN | $363K |
| ADDICTION WELLNESS CENTER OH LLC | TOLEDO | OH | $99K |
| EVOLVE HEALTH PARTNERS | PASADENA | MD | $94K |
| BRIDGE MENTAL HEALTH LLC | LAUREL | MD | $46K |
| MARYLAND WELLNESS AND RECOVERY, LLC | ROCKVILLE | MD | $19K |
| ADDICTION WELLNESS CENTER VA | WARRENTON | VA | $13K |
| ADDICTION WELLNESS CENTER OK LLC | OKLAHOMA CITY | OK | $6K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,849 | $635K |
| 2019 | 11,329 | $1.05M |
| 2020 | 13,974 | $944K |
| 2021 | 14,225 | $1.10M |
| 2022 | 18,217 | $1.42M |
| 2023 | 12,629 | $1.19M |
| 2024 | 1,703 | $214K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 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 | 17,614 | 2,246 | $2.55M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 36,802 | 5,026 | $1.79M |
| J2315 | Injection, naltrexone, depot form, 1 mg | 559 | 474 | $639K |
| H0001 | Alcohol and/or drug assessment | 3,177 | 3,129 | $582K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 7,414 | 4,191 | $482K |
| H2036 | Alcohol and/or other drug treatment program, per diem | 687 | 71 | $191K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,007 | 960 | $134K |
| 80305 | 9,518 | 4,876 | $97K | |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 206 | 202 | $36K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1,708 | 1,627 | $35K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 222 | 206 | $17K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12 | 12 | $1K |