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NPI 1104317007 · Providence, RI · Addiction Medicine (Internal Medicine) Physician
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Victa LLC is a addiction medicine (internal medicine) physician provider located in Providence, Rhode Island. This profile covers 1 Medicare and 18 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 | Victa LLC |
| Address | 110 Elmwood Ave # A |
| City | Providence |
| State | RI |
| ZIP | 02907 |
| Taxonomy | Addiction Medicine (Internal Medicine) Physician |
| NPI Enumerated | May 25, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.7M |
| Medicare | $57.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2068 | Medication assisted treatment, buprenorphine (oral); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if… | 230 | $250 | $57.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
1 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| G2068 | 1 | 10 | 230 | $250 | $57.6K |
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.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H0033 | Oral medication administration, direct observation | 13,370 | $120 | $1.6M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 12,240 | $80 | $1M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 4,710 | $60 | $282.3K |
| 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… | 3,380 | $60 | $199.2K |
| 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… | 2,520 | $80 | $194.3K |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | 750 | $230 | $169.1K |
| 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… | 980 | $170 | $164.8K |
| H0001 | Alcohol and/or drug assessment | 360 | $140 | $51.4K |
| 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… | 130 | $80 | $10.3K |
| 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… | 190 | $40 | $8.2K |
Showing 1–10 of 18
How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Rhode Island median
18 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) | 16 | 30 | 12,240 | $50 | $3.9M |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | 14 | 20 | 1,280 | $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… | 5 | 10 | 540 | $160 | $333.3K |
| H0033 | Oral medication administration, direct observation | 1 | 10 | 110 | $80 | $238.8K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 13 | 80 | 340 | $70 | $223.7K |
| H0036 | Community psychiatric supportive treatment, face-to-face, per 15 minutes | 87 | 90 | 510 | $10 | $187.5K |
| H0001 | Alcohol and/or drug assessment | 2 | 10 | 210 | $160 | $111.5K |
| 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… | 90 | 750 | 330 | $70 | $92.5K |
| 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. | 223 | 240 | 150 | $80 | $91.9K |
| 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… | 315 | 360 | 280 | $90 | $86.4K |
Showing 1–10 of 18
Other providers in the same ZIP code as Victa LLC, ranked by combined Medicare and Medicaid revenue.
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