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NPI 1083250542 · Fort Wayne, IN · Substance Abuse Rehabilitation Facility
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Avenues Recovery Center Of Fort Wayne, LLC is a substance abuse rehabilitation facility provider located in Fort Wayne, Indiana. This profile covers 0 Medicare and 1 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 | Avenues Recovery Center Of Fort Wayne, LLC |
| Address | 2626 Fairfield Ave |
| City | Fort Wayne |
| State | IN |
| ZIP | 46807 |
| Taxonomy | Substance Abuse Rehabilitation Facility |
| NPI Enumerated | November 20, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $43.8M |
| Medicare | $0 |
Business/service-line: The provider’s taxonomy (Substance Abuse Rehabilitation Facility) and the Medicaid top code H0010 (sub-acute detoxification, residential addiction program inpatient) indicate this organization operates as a residential inpatient detoxification facility. Medicaid billing for H0010 totals 98.4K claims at an average paid/claim of $445, producing $43.8M in Medicaid revenue, which aligns with a high-volume residential detox service model rather than a diversified outpatient behavioral health practice.
Revenue concentration: Revenue is highly concentrated by code — the precomputed top-3 figure shows the Top 3 Medicaid codes by revenue account for 100.0% of this provider’s total Medicaid revenue, and H0010 alone is reported as $43.8M (100.0% of Medicaid revenue). This concentration means the provider’s financial performance is effectively tied to utilization and reimbursement for that single service line.
Payer mix: This entity is effectively single-payer at scale for Medicare/Medicaid analysis — there is no Medicare billing on file while Medicaid revenue is $43.8M. The absence of Medicare billing suggests the provider either does not participate in Medicare-covered services or does not bill Medicare, making Medicaid the sole material public payer in available data.
Competitive standing: For the key Medicaid code H0010 the provider ranks #3 of 57 in-state and sits in the 96th percentile, described as notably above typical state volume. That rank and percentile position this provider as a major statewide participant for sub-acute residential detox services rather than a modest or occasional supplier.
Utilization vs. unit price drivers: The Medicaid figures (98.4K claims at $445 avg paid/claim yielding $43.8M) show revenue is driven predominantly by very high claim volume rather than unusually high unit reimbursement. This suggests operational emphasis on throughput and bed capacity for residential detox rather than reliance on elevated per-claim payments.
Tenure and growth implication: The provider’s NPI was enumerated on 2019-11-20 (~7 years ago), indicating it has been active for several years. Given the relatively recent enumeration and the current high-volume standing (rank #3 of 57 for H0010), the data are consistent with rapid scaling in its specialized service line since enumeration.
Operational risk and strategic implication: Dependence on a single Medicaid code (H0010 accounting for 100.0% of Medicaid revenue) creates both a strategic specialization and a vulnerability — changes in Medicaid policy, reimbursement, or utilization patterns for H0010 would have an outsized impact on the provider’s $43.8M Medicaid revenue. Analysts should flag this single-code revenue concentration when modeling future revenue risk or considering competitive dynamics in the state market.
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H0010 | Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient) | 98,380 | $450 | $43.8M |
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H0010 | Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient) | 3 | 60 | 23,940 | $380 | $12.8M |
Other providers in the same ZIP code as Avenues Recovery Center Of Fort Wayne, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Indiana Applied Behavior Analysis Institute | IN | Behavior Analyst | $0 | $13.6M |
| At Home Health Care Agency, LLC | IN | Home Health Agency | $0 | $5.9M |
| Ashley Smith | IN | Physical Therapist | $68.4K | $0 |
| Brooke Murphy | IN | Physical Therapist | $29.6K | $0 |
| Jorge Pablo | IN | Physical Therapist | $19.6K | $0 |
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