Medicaid Provider Spending

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

ADDICTION & MENTAL HEALTH SERVICES, LLC

NPI: 1992853352 · CHATTANOOGA, TN 37421 · Substance Abuse Rehabilitation Facility · NPI assigned 01/08/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

98% of spending on code H0015 with only 2 total codes billed. Highly concentrated billing profile.

$2.07M
Total Medicaid Paid
20,932
Total Claims
2,399
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEDWARDS, MARK (CFO)
NPI Enumeration Date01/08/2007

Related Entities

Other providers sharing the same authorized official: EDWARDS, MARK

ProviderCityStateTotal Paid
THE CORNERSTONE OF RECOVERY, INC. LOUISVILLE TN $5.93M
LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC. SALEM KY $4.94M
BRADFORD EVOLVE TREATMENT SERVICES, LLC KNOXVILLE TN $758K
NAAB ROAD SURGICAL GROUP PC INDIANAPOLIS IN $248K
LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC. GRAND RIVERS KY $153K
LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC. EDDYVILLE KY $117K
WEST HOUSTON LUNG CENTER PA HOUSTON TX $5K
EDWARDS INTERNAL MEDICINE PLLC GERMANTOWN TN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,317 $321K
2019 3,037 $307K
2020 3,968 $374K
2021 2,584 $249K
2022 2,333 $244K
2023 2,747 $281K
2024 2,946 $297K

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 20,739 2,377 $2.03M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 193 22 $40K