Medicaid Provider Spending

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

NPI: 1992487136 · MARYSVILLE, OH 43040 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 08/07/2023

$52K
Total Medicaid Paid
423
Total Claims
118
Beneficiaries
3
Codes Billed
2024-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBOWRA, HALEY (CLINICAL DIRECTOR)
NPI Enumeration Date08/07/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 423 $52K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 300 44 $40K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 102 57 $12K
82075 21 17 $337.50