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NPI 1023686284 · Millsboro, DE · Substance Use Disorder Rehabilitation Clinic/Center
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Coras Wellness And Behavioral Health, LLC is a substance use disorder rehabilitation clinic/center provider located in Millsboro, Delaware. This profile covers 2 Medicare and 29 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 | Coras Wellness And Behavioral Health, LLC |
| Address | 315 Old Landing Rd |
| City | Millsboro |
| State | DE |
| ZIP | 19966 |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| NPI Enumerated | June 15, 2021 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $18.2M |
| Medicare | $703K |
CORAS WELLNESS AND BEHAVIORAL HEALTH, LLC is classified as a Substance Use Disorder Rehabilitation Clinic/Center and its claim mix is dominated by medication-assisted treatment and methadone services alongside counseling and routine outpatient visits. Medicare billing is concentrated on opioid treatment program bundles (G2067, G2078) and Medicaid billing is driven by methadone administration and behavioral counseling codes (H0020, H0004), indicating an integrated dispensing-plus-therapy operating model rather than a purely office-based psychiatric practice.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes account for 100.0% of the provider's $703K Medicare revenue, with G2067 alone contributing $650.5K (92.5% of Medicare revenue). G2067 ranks #42 of 830 providers nationally (95th percentile; typical, unremarkable volume for this code), which signals strong engagement in the specific Medicare opioid treatment bundle but an otherwise narrow Medicare footprint.
Medicaid revenue is also concentrated: the precomputed top 3 Medicaid codes account for 85.7% of the provider's $18.2M Medicaid revenue, led by H0020 at $11.5M (63.2%), H0004 at $2.7M (14.6%), and 99214 at $1.4M (7.9%). This mix shows Medicaid payments are primarily for methadone administration and high-volume behavioral counseling plus evaluation-and-management visits, reflecting a dispensing-centric revenue base supplemented by clinician time.
Payer mix is heavily skewed toward Medicaid: reported Medicaid revenue of $18.2M dwarfs Medicare revenue of $703K, making this provider effectively Medicaid-focused in scale. The disparity suggests contractual and operational emphasis on state Medicaid programs and services reimbursed under substance-use treatment benefit structures.
Competitive standing in-state is notable for specific counseling and group services: H0004 ranks #1 of 14 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code) and H0005 ranks #1 of 6 providers in-state (100th percentile; notably above typical state volume for this code). By contrast, H0020 ranks #3 of 13 providers in-state (83th percentile; typical, unremarkable volume for this code), indicating the clinic is an outlier for counseling volume but one of several major dispensers of methadone in the state.
Claims volume underscores throughput: H0020 shows 1.4M claims and H0004 shows 65.2K claims, with 99214 at 18.7K claims, signaling very high-frequency encounters consistent with weekly dispensing and frequent counseling sessions. These large claim counts combined with the revenue concentration imply an operational model built around regular medication administration plus recurring clinical encounters.
The provider bills a broad set of service types under Medicaid beyond dispensing—examples include psychotherapy (90837), psychiatric evaluation (90792, 90791), urine collection/testing (H0048), and buprenorphine products (J0575, J0574). This diversity indicates the clinic offers both medication delivery and clinical follow-up services, supporting continuity-of-care for substance use disorder treatment rather than single-service dispensing.
CORAS has a relatively recent enrollment date (NPI enumerated 2021-06-15 (~5 years ago)), yet it has already established a substantial Medicaid revenue footprint. The combination of a short tenure and the large Medicaid volume suggests rapid scale-up in state-funded substance use disorder services since enrollment.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
2 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… | 2,930 | $220 | $650.5K |
| 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 | 1,350 | $40 | $52.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 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.
29 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) | 1,441,610 | $10 | $11.5M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 65,230 | $40 | $2.7M |
| 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… | 18,740 | $80 | $1.4M |
| H2036 | Alcohol and/or other drug treatment program, per diem | 5,230 | $110 | $559.2K |
| 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… | 5,330 | $100 | $533.1K |
| H0001 | Alcohol and/or drug assessment | 2,980 | $80 | $250.4K |
| J0575 | Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine | 30,640 | $10 | $214.5K |
| 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… | 3,580 | $60 | $207.4K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 33,740 | $10 | $168.7K |
| 90837 | In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or… | 1,510 | $80 | $117.9K |
Showing 1–10 of 29
How this provider's Medicaid billing volume and revenue compare to other Delaware providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Delaware median
29 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) | 3 | 10 | 77,020 | $10 | $3.4M |
| H2036 | Alcohol and/or other drug treatment program, per diem | 4 | 10 | 4,900 | $250 | $2.8M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1 | 10 | 860 | $40 | $316.4K |
| H2034 | Alcohol and/or drug abuse halfway house services, per diem | 2 | 10 | 750 | $450 | $297K |
| H0038 | Self‑help/peer services, per 15 minutes | 14 | 20 | 2,780 | $50 | $261.8K |
| 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… | 31 | 500 | 1,130 | $50 | $235.1K |
| 90837 | In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or… | 94 | 240 | 700 | $60 | $205.6K |
| J0575 | Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine | 2 | 10 | 16,090 | $10 | $197.9K |
| 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… | 145 | 540 | 1,100 | $40 | $185.3K |
| 90834 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 47 | 80 | 790 | $40 | $180.4K |
Showing 1–10 of 29
Other providers in the same ZIP code as Coras Wellness And Behavioral Health, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| National Mentor Healthcare, LLC | DE | Intellectual & Developmental Disabilities Psychologist | $0 | $108.7M |
| Peninsula Dental, LLC | DE | General Practice Dentistry | $0 | $12.3M |
| Sleepy Tooth Orthodontics LLC | DE | Orthodontics and Dentofacial Orthopedics Dentistry | $0 | $8.3M |
| Ctm Medical Associates LLC | DE | Surgery Physician | $0 | $1.9M |
| Green Valley Terrace Snf LLC | DE | Skilled Nursing Facility | $0 | $822K |
| Georges Dahr | DE | Cardiovascular Disease Physician | $763.7K | $0 |
| Millsboro Fire Company Inc. | DE | Land Ambulance | $517.4K | $165.3K |
| Mid Sussex Rescue Squad Inc. | DE | Ambulance | $497.1K | $178K |
| William Singleton | DE | Addiction (Substance Use Disorder) Counselor | $0 | $636.8K |
| Beebe Medical Center, Inc. | DE | Home Health Agency | $0 | $559.9K |
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