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NPI 1003368945 · Edgewood, MD · Methadone Clinic
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Rts Edgewood is a methadone clinic provider located in Edgewood, Maryland. This profile covers 4 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Rts Edgewood |
| Address | 2205 Pulaski Hwy |
| City | Edgewood |
| State | MD |
| ZIP | 21040 |
| Taxonomy | Methadone Clinic |
| NPI Enumerated | October 26, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $25.6M |
| Medicare | $504.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 1,740 | $220 | $374.7K |
| G2068 | Medication assisted treatment, buprenorphine (oral); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if… | 280 | $260 | $70.9K |
| 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 | 930 | $40 | $34.3K |
| 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… | 310 | $80 | $24.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 138,760 | $80 | $10.5M |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 279,510 | $20 | $4.8M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 42,670 | $90 | $3.8M |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | 48,740 | $70 | $3.3M |
| J0572 | Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine | 142,580 | $10 | $1.7M |
| H0001 | Alcohol and/or drug assessment | 3,880 | $170 | $675.5K |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 1,880 | $240 | $453.1K |
| 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… | 1,010 | $80 | $78.9K |
| J0573 | Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine | 2,740 | $20 | $43.8K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 1,590 | $20 | $33.4K |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maryland median
13 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 10 | 110 | 51,720 | $70 | $4.8M |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 2 | 40 | 9,260 | $20 | $756.2K |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | 2 | 50 | 2,370 | $70 | $484.7K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 9 | 380 | 1,450 | $60 | $459K |
| J0572 | Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine | 2 | 30 | 11,420 | $10 | $307.4K |
| 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… | 1,366 | 3,280 | 610 | $80 | $296.1K |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 4 | 80 | 240 | $240 | $141.1K |
| J0573 | Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine | 13 | 20 | 3,590 | $20 | $130.9K |
| H0001 | Alcohol and/or drug assessment | 9 | 440 | 190 | $170 | $115.9K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 739 | 1,000 | 200 | $120 | $96.3K |
Showing 1–10 of 13
Other providers in the same ZIP code as Rts Edgewood, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Caring Nurses Services, Inc | MD | Nursing Care Agency | $0 | $30.6M |
| Project Chesapeake, LLC | MD | Substance Abuse Rehabilitation Facility | $0 | $8.4M |
| Empowering Minds Resource Center | MD | Case Management Agency | $0 | $6M |
| Project Chesapeake, LLC | MD | Substance Use Disorder Rehabilitation Clinic/Center | $0 | $5.3M |
| Changing Turn Community Healthcare Services | MD | Community/Behavioral Health Agency | $0 | $4.5M |
| Daun Sigafoose | MD | Chiropractor | $45.1K | $0 |
| Edward Arrison | MD | Anesthesiology Physician | $10.8K | $0 |
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