Clinic
Victory Clinical Services IV, LLC
Victory Clinical Services IV, LLC was paid $19.23M by Medicaid between Jan 2018 and Dec 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) — 57% of everything it billed.
33Billing provider infoVICTORY CLINICAL SERVICES IV, LLC
SAGINAW, MI 48604
SAGINAW, MI 48604
33aNPI1922249440assigned 03/12/2009
33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center
28Total paid$19.23M
24GClaims1,087,416
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Michigan
Rank by total paid#3 of 25
Median peer was paid$833K
This provider vs. median23×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 171,431 | $2.28M | |
| 2019 | 177,900 | $2.34M | |
| 2020 | 165,849 | $2.21M | |
| 2021 | 164,389 | $2.19M | |
| 2022 | 150,509 | $2.51M | |
| 2023 | 142,003 | $4.07M | |
| 2024incomplete | 115,335 | $3.63M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 57% | 988,417 | 34,866 | $10.94M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 10% | 27,502 | 14,415 | $1.93M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 7.8% | 13,225 | 8,739 | $1.51M |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 6.0% | 9,008 | 3,950 | $1.15M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.3% | 11,740 | 11,699 | $1.02M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.1% | 10,216 | 6,647 | $596K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.3% | 4,691 | 3,805 | $437K |
| H0001 | Alcohol and/or drug assessment | 1.9% | 2,430 | 2,429 | $368K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 1.6% | 2,455 | 2,439 | $302K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 3,558 | 3,548 | $251K |
| 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) | 1.2% | 5,095 | 1,312 | $234K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 2,370 | 1,449 | $172K |
8 more codes
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 2,357 | $120K |
| H0006 | Alcohol and/or drug services; case management | <1% | 2,413 | $101K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 565 | $53K |
| T1012 | Alcohol and/or substance abuse services, skills development | <1% | 406 | $16K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 353 | $16K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 123 | $11K |
| H0003 | Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs | <1% | 296 | $7K |
| 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% | 196 | $3K |
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 officialBLANKENSHIP, DAVID (PROGRAM DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Victory Clinical Services Lansing | Lansing, MI | $16.82M |
| Victory Clinical Services II LLC | South Bend, IN | $9.15M |
| Elite Care EMS, LLC | Gilbert, WV | $2.29M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.