Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Virginia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Addiction Allies, LLC (NPI 1003225780)

Field	Value
Entity Type	Organization
Organization	Addiction Allies, LLC
Address	631 Berkmar Cir
City	Charlottesville
State	VA
ZIP	22901
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	August 7, 2014

Payer Source	Total Paid
Medicaid	$11.4M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S0201	Partial hospitalization services, less than 24 hours, per diem	9,170	$470	$4.3M
G9012	Other specified case management service not elsewhere classified	18,160	$210	$3.7M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	25,680	$70	$1.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	19,220	$30	$595.9K
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…	2,050	$210	$426.6K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	25,430	$10	$254.3K
H0014	Alcohol and/or drug services; ambulatory detoxification	760	$130	$95.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,390	$60	$80.6K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	8,420	$10	$75.8K
T1012	Alcohol and/or substance abuse services, skills development	1,550	$10	$14K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Virginia Distribution

Addiction Allies, LLC — 2 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S0201	Partial hospitalization services, less than 24 hours, per diem	13	80	1,870	$470	$2.9M
G9012	Other specified case management service not elsewhere classified	11	120	2,160	$220	$1.6M
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…	52	110	1,830	$220	$1.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	22	100	3,280	$40	$455.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	92	3,520	370	$70	$280.7K
T1012	Alcohol and/or substance abuse services, skills development	9	30	790	$60	$267.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,115	4,010	290	$50	$199.8K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	197	270	720	$20	$120.2K
H0014	Alcohol and/or drug services; ambulatory detoxification	17	50	410	$130	$117.7K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	16	230	780	$10	$55.3K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Addiction Allies, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alternative Healing Home Care Services Company	VA	Home Health Agency	$0	$9.8M
The Charleston Center, Inc	VA	Rehabilitation Clinic/Center	$0	$7.1M
Angelcare LLC	VA	Non-emergency Medical Transport (VAN)	$0	$6.8M
Complete Home Care Services Company	VA	Home Health Agency	$0	$5.6M
University Pathology Associates, Plc	VA	Clinical Medical Laboratory	$2.8M	$715.7K
Monticello Community Surgery Center, LLC	VA	Ambulatory Surgical Clinic/Center	$2.8M	$328.5K
Costco Wholesale Corporation	VA	Community/Retail Pharmacy	$638.7K	$0
Archibald Lord	VA	Internal Medicine Physician	$388.9K	$0
Catherine Barry	VA	Anatomic Pathology Physician	$381.7K	$0
Renee Fischer	VA	Internal Medicine Physician	$286.8K	$0

Addiction Allies, LLC — Billing Profile & Reimbursement Data

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Addiction Allies, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References