Lorain County Alcohol & Drug Abuse Services, INC.
Lorain County Alcohol & Drug Abuse Services, INC. was paid $26.04M by Medicaid between Jan 2018 and Jun 2024, across 22 billing codes. Its largest line is 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 — 65% of everything it billed.
LORAIN, OH 44053
Next to other Substance Abuse Rehabilitation Facility providers in Ohio
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 41,715 | $4.35M | |
| 2019 | 41,360 | $4.60M | |
| 2020 | 30,413 | $3.66M | |
| 2021 | 33,719 | $4.22M | |
| 2022 | 32,690 | $3.85M | |
| 2023 | 31,976 | $3.60M | |
| 2024incomplete | 13,902 | $1.76M |
What it billed for
| Code | Service | Share | Claims | Bene. records | 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 | 65% | 125,998 | 21,151 | $17.05M |
| H2036 | Alcohol and/or other drug treatment program, per diem | 22% | 27,462 | 1,814 | $5.63M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 2.0% | 9,462 | 5,124 | $530K |
| T1002 | Rn services, up to 15 minutes | 1.9% | 12,557 | 8,647 | $493K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1.4% | 6,286 | 4,358 | $354K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 4,151 | 3,502 | $313K |
| 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% | 2,587 | 2,252 | $289K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 2,315 | 2,254 | $246K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | <1% | 17,439 | 11,494 | $240K |
| H0006 | Alcohol and/or drug services; case management | <1% | 9,093 | 4,456 | $219K |
| H0001 | Alcohol and/or drug assessment | <1% | 2,021 | 1,979 | $152K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,521 | 796 | $142K |
10 more codes
| H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | <1% | 342 | $83K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,169 | $76K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,226 | $62K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 323 | $53K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 436 | $49K |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 1,092 | $25K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 157 | $21K |
| 99205 | Prolong outpt/office vis | <1% | 26 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 34 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 78 | $2K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Lorain County Alcohol & Drug Abuse Services, INC. | Lorain, OH | $683K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.