WA ($259.13M) WV ($49.70M) OH ($18.85M) PA ($7.90M) OR ($4.32M) MD ($3.72M) NJ ($2.36M) MA ($1.62M) TN ($1.19M) CA ($1.06M) IN ($1.01M) IL ($966K) TX ($524K) WI ($328K) NV ($291K) RI ($270K) AZ ($219K) KY ($201K) VA ($155K) FL ($124K) NY ($102K) MI ($77K) CO ($10K) NH ($10K)
| Code | Description | Total Paid |
|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $75.76M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | $50.51M |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed | $38.46M |
| H2036 | Alcohol and/or other drug treatment program, per diem | $33.92M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $20.25M |
| 99215 | Prolong outpt/office vis | $13.89M |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | $13.37M |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | $12.41M |
| 82075 | $11.50M | |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | $11.22M |
| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | IDEAL OPTION, PLLC | PASCO, WA | 3,887,574 | $259.13M |
| 2 | ST. JOSEPH RECOVERY CENTER, LLC | PARKERSBURG, WV | 355,924 | $49.60M |
| 3 | COMPLETE HEALTHCARE FOR WOMEN INC. | COLUMBUS, OH | 488,719 | $17.73M |
| 4 | TEMPLE FACULTY PRACTICE PLAN INC | PHILADELPHIA, PA | 88,414 | $5.13M |
| 5 | EQUINOX CLINICS LLC | EUGENE, OR | 122,252 | $4.32M |
| 6 | OPEN ARMS & HEARTS HEALTH SERVICES | POCOMOKE CITY, MD | 45,725 | $3.16M |
| 7 | NEW LIFE MEDICAL DETOXIFICATION LLC | MARLTON, NJ | 25,156 | $2.35M |
| 8 | ACRI, TRISHA | PHILADELPHIA, PA | 12,785 | $1.50M |
| 9 | COHEN, DANIEL | PITTSBURGH, PA | 9,863 | $1.04M |
| 10 | AXIAL CLINIC IN PC | INDIANAPOLIS, IN | 8,948 | $1.01M |
| 11 | BROWN, JOSHUA | MILFORD, OH | 7,427 | $980K |
| 12 | OCONNOR, BRIAN | WOBURN, MA | 16,204 | $911K |
| 13 | BACKUS, CHARLES | BULLS GAP, TN | 19,486 | $680K |
| 14 | SMITH, SUZANNE | GREENFIELD, MA | 9,246 | $588K |
| 15 | JOHNS HOPKINS UNIVERSITY | BALTIMORE, MD | 7,138 | $564K |
| 16 | VITAL TOTAL HEALTH MEDICAL GROUP, INC. | WALNUT CREEK, CA | 36,033 | $532K |
| 17 | QUICK, NICHOLE | BUENA PARK, CA | 13,226 | $491K |
| 18 | PARAGON PAIN & REHABILITATION PLLC | RICHARDSON, TX | 144,490 | $473K |
| 19 | SLEETER, DONALD | JEFFERSON CITY, TN | 5,635 | $415K |
| 20 | FATOKI, ADEYEMI | OTTAWA, IL | 6,625 | $384K |
| 21 | HANNA MEDICAL CLINIC SC | MIDDLETON, WI | 7,574 | $327K |
| 22 | PARTIDA CORONA, JOSE | LAS VEGAS, NV | 3,830 | $291K |
| 23 | HOLTSFORD, STEPHEN | SAINT CHARLES, IL | 6,158 | $223K |
| 24 | SCHROEDER, JULIA | LOUISVILLE, KY | 4,442 | $185K |
| 25 | HOWLAND, SHAWN | PROVIDENCE, RI | 1,399 | $183K |
| 26 | ACHIEVE RECOVERY CENTER P L L C | SURPRISE, AZ | 2,298 | $171K |
| 27 | BRE ENTERPRISES, LLC | LEESBURG, VA | 1,743 | $149K |
| 28 | LANK, PATRICK | CHICAGO, IL | 2,838 | $148K |
| 29 | SAXENA MEDICAL LLC | COLUMBUS, OH | 1,890 | $141K |
| 30 | SANFORD, BLAKE | OAK PARK, IL | 1,561 | $132K |
| 31 | MOURTACOS, HEATHER | GROVE CITY, PA | 3,780 | $123K |
| 32 | MEDICATION ASSISTED RECOVERY INSTITUTE, LLC | BOCA RATON, FL | 3,682 | $121K |
| 33 | GENERATIONS HEALTH & WELLNESS, LLC | OAK HILL, WV | 2,801 | $108K |
| 34 | SHAWN A HOWLAND MD | PROVIDENCE, RI | 1,602 | $84K |
| 35 | POLUHA, DOROTA | WEBSTER, MA | 3,775 | $80K |
| 36 | CONNECTED HEALTH PLLC | OKEMOS, MI | 1,282 | $77K |
| 37 | CHANDRAGIRI, SANJAY | DUNMORE, PA | 1,418 | $68K |
| 38 | TAKAHASHI, AYAME | SPRINGFIELD, IL | 830 | $58K |
| 39 | RADEOS, MICHAEL | BRONX, NY | 2,254 | $57K |
| 40 | VITAL OPTIONS PLLC | MURPHY, TX | 1,803 | $52K |
| 41 | GELOW, RANDY | PHOENIX, AZ | 2,823 | $48K |
| 42 | ELKIN, CHAD | BRENTWOOD, TN | 2,512 | $45K |
| 43 | NICOLA, PAULA | CHATTANOOGA, TN | 258 | $38K |
| 44 | FRENKEL, JERRY | FLUSHING, NY | 1,667 | $29K |
| 45 | DIMATTIO, KELLY | PITTSBURGH, PA | 344 | $26K |
| 46 | GREWAL, SATKIRAN | WEST SPRINGFIELD, MA | 525 | $25K |
| 47 | BONUCCI, PAUL | PRINCETON, IL | 810 | $21K |
| 48 | JACKSON-NOVAK, TERESA | RANCHO MIRAGE, CA | 72 | $15K |
| 49 | SOARES, WILLIAM | SPRINGFIELD, MA | 116 | $12K |
| 50 | LIEPA, DAGMAR | VAN NUYS, CA | 1,442 | $12K |
| 51 | LOUISVILLE OCCUPATIONAL AND GENERAL HEALTH SERVICES LLC | LOUISVILLE, KY | 349 | $11K |
| 52 | GERTZ, MICHAEL | LOS ANGELES, CA | 170 | $10K |
| 53 | AURORA FAMILY PRACTICE LLC | AURORA, CO | 376 | $10K |
| 54 | RICHARDSON, DAWN | SOMERSWORTH, NH | 157 | $10K |
| 55 | FOSTER, DONALD | ELMIRA, NY | 510 | $9K |
| 56 | WATTERS, DONALD | CHATTANOOGA, TN | 416 | $9K |
| 57 | FRANCIS, ARIE | STONY BROOK, NY | 184 | $6K |
| 58 | RODER, NAVID | PHILADELPHIA, PA | 67 | $6K |
| 59 | EKWO, ANTHONY | NASHVILLE, TN | 152 | $6K |
| 60 | FARMER, JOHN | LOUISVILLE, KY | 246 | $4K |
| 61 | TAN, MARISSA | CAMDEN, NJ | 39 | $4K |
| 62 | ROSENBLATT, MELANIE | BOCA RATON, FL | 93 | $4K |
| 63 | DHALIWAL, SANJIT | ALIQUIPPA, PA | 32 | $3K |
| 64 | STARK PAIN MANAGEMENT | NORTH CANTON, OH | 83 | $3K |
| 65 | WINCHESTER RECOVERYPLLC | WINCHESTER, VA | 129 | $3K |
| 66 | ADDICTION MEDICINE CONSULTANTS OF RICHMOND LLC | RICHMOND, VA | 26 | $3K |
| 67 | PINKES, VICTOR | CRANSTON, RI | 51 | $3K |
| 68 | KHAN, NISAR | BLOOMSBURG, PA | 50 | $2K |
| 69 | ROWE, THERESE | MADISON, WI | 76 | $2K |
| 70 | T&T HEALTH AND WELLNESS LLC | LAUREL, MD | 21 | $1K |
| 71 | ARING, ANN | COLUMBUS, OH | 212 | $1K |
| 72 | MAGGARD, BRIAN | KINGSPORT, TN | 28 | $716.85 |
| 73 | MEACHAM, JAMES | ANDERSON, IN | 77 | $568.88 |
| 74 | GONZALEZ, JOSE | LONG BEACH, CA | 14,009 | $28.36 |
| 75 | CULCLASURE, JOHN | ANTIOCH, TN | 899 | $0.00 |
| 76 | MCCURRY, PAUL | KNOXVILLE, TN | 1,107 | $0.00 |
| 77 | HILLERS, ERIN | POMPANO BEACH, FL | 35 | $0.00 |
| 78 | WEST, JASON | HARRISBURG, IL | 34 | $0.00 |