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NPI 1164641676 · Gaylord, MI · Substance Use Disorder Rehabilitation Clinic/Center
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Northern Michigan Substance Abuse Services, Inc. is a substance use disorder rehabilitation clinic/center provider located in Gaylord, Michigan. This profile covers 1 Medicare and 14 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 | Northern Michigan Substance Abuse Services, Inc. |
| Address | 2136 W M 32 |
| City | Gaylord |
| State | MI |
| ZIP | 49735 |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| NPI Enumerated | April 24, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $9.7M |
| Medicare | $93.2K |
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 |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 410 | $230 | $93.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
1 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| G2067 | 22 | 30 | 840 | $230 | $208.1K |
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.
14 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) | 338,730 | $20 | $5.1M |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 19,560 | $130 | $2.5M |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 6,130 | $80 | $490.7K |
| 90832 | 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… | 6,340 | $60 | $387K |
| H0003 | Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs | 11,780 | $30 | $353.3K |
| 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… | 2,530 | $120 | $314.2K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 4,030 | $70 | $290.2K |
| 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… | 2,080 | $90 | $189.5K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 1,410 | $30 | $43.6K |
| 90853 | Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of… | 650 | $70 | $43.4K |
Showing 1–10 of 14
How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Michigan median
14 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) | 18 | 40 | 288,630 | $10 | $4.4M |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 1 | 90 | 1,700 | $190 | $542.3K |
| 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… | 590 | 1,960 | 870 | $100 | $376.5K |
| 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… | 284 | 950 | 610 | $80 | $328.2K |
| H0003 | Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs | 10 | 50 | 1,030 | $20 | $269.3K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 50 | 210 | 740 | $70 | $255.2K |
| 90853 | Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of… | 146 | 250 | 1,110 | $60 | $228.5K |
| 90832 | 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… | 86 | 670 | 560 | $60 | $165.2K |
| H0001 | Alcohol and/or drug assessment | 123 | 190 | 320 | $130 | $116.2K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 68 | 110 | 570 | $40 | $104.4K |
Showing 1–10 of 14
Other providers in the same ZIP code as Northern Michigan Substance Abuse Services, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Munson Healthcare Otsego Memorial Hospital | MI | General Acute Care Hospital | $0 | $14.2M |
| Community Home & Health Services LLC | MI | Home Health Agency | $0 | $10.3M |
| Munson Healthcare Otsego Memorial Hospital | MI | Rural Health Clinic/Center | $0 | $6.2M |
| Otsego County Ambulance Corps, Inc. | MI | Land Ambulance | $510.8K | $1.3M |
| Jeffrey Chaulk | MI | Ophthalmology Physician | $529.6K | $0 |
| Michael Habryl | MI | Ophthalmology Physician | $271.4K | $0 |
| Guardian Flight LLC | MI | Air Ambulance | $203.7K | $0 |
| Adam Moffatt | MI | Physician Assistant | $141.5K | $0 |
| Donald Cousineau | MI | General Practice Physician | $130.6K | $0 |
| Michael Vanwagner | MI | Orthopaedic Surgery Physician | $114K | $0 |
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