Medicaid Provider Spending

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

MIDDLETOWN MEDICAL, LLC

NPI: 1962712398 · RED BANK, NJ 07701 · Methadone Clinic · NPI assigned 10/19/2010

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

Authorized official TANIS, ROBYN controls 20+ related entities in our dataset. Read more

$7.79M
Total Medicaid Paid
80,823
Total Claims
24,237
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTANIS, ROBYN (EXECUTIVE DIRECTOR OF CONTRACT MGMT)
NPI Enumeration Date10/19/2010

Related Entities

Other providers sharing the same authorized official: TANIS, ROBYN

ProviderCityStateTotal Paid
PINNACLE TREATMENT CENTERS OH-I, LLC COLUMBUS OH $95.47M
PINNACLETREATMENT CENTERS IN-1, LLC CAMBRIDGE CITY IN $62.48M
PINNACLE TREATMENT CENTERS NJ-III, LLC PENNSAUKEN NJ $56.33M
PINNACLE TREATMENT CENTERS IN-1, LLC D/B/A RECOVERY WORKS MERRILLVILLE MERRILLVILLE IN $43.07M
PINNACLE TREATMENT CENTERS KY-1, LLC ELIZABETHTOWN KY $33.62M
PINNACLE TREATMENT CENTERS KY-I, LLC LONDON KY $33.44M
PINNACLE TREATMENT CENTERS KY-I, LLC GEORGETOWN KY $30.87M
PULASKI MEDICAL, LLC PULASKI VA $28.41M
NKY MED, LLC COVINGTON KY $24.36M
PINNACLE TREATMENT CENTERS KY-1, LLC D/B/A RECOVERY WORKS GREENUP SOUTH SHORE KY $23.45M
PINNACLE TREATMENT CENTERS KY-I, LLC GEORGETOWN KY $23.37M
LEESBURG TREATMENT SERVICES, LLC NORTH CHESTERFIELD VA $22.29M
PINNACLE TREATMENT CENTERS, LLC D/B/A RECOVERY WORKS PADUCAH MAYFIELD KY $17.66M
PENNSYLVANIA CARE, LLC ASHLEY PA $16.60M
PINNACLE TREATMENT CENTERS VA-I, LLC RICHMOND VA $16.40M
PINNACLE TREATMENT CENTERS VA-I, LLC FREDERICKSBURG VA $15.63M
PINNACLE TREATMENT SERVICES OF ROANOKE, LLC ROANOKE VA $14.22M
PINNACLE TREATMENT CENTERS PA-III, LLC JOHNSTOWN PA $13.40M
PINNACLE TREATMENT CENTERS NJ III LLC VINELAND NJ $10.84M
OCEAN MONMOUTH CARE, LLC BRICK NJ $10.80M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,139 $201K
2021 4,224 $272K
2022 30,725 $2.38M
2023 26,664 $2.72M
2024 17,071 $2.21M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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) 64,306 17,042 $6.66M
G2068 Medication assisted treatment, buprenorphine (oral); 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) 3,259 899 $595K
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 6,102 1,732 $198K
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 2,976 1,766 $124K
H0038 Self-help/peer services, per 15 minutes 1,871 814 $67K
90832 Psychotherapy, 30 minutes with patient 803 708 $59K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 325 269 $16K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 123 123 $14K
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 44 43 $14K
H0033 Oral medication administration, direct observation 63 15 $12K
90791 Psychiatric diagnostic evaluation 101 101 $9K
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 61 15 $7K
G2079 Take-home supply of buprenorphine (oral); 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 33 25 $5K
86580 739 668 $3K
H0001 Alcohol and/or drug assessment 17 17 $833.00