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NPI 1194954875 · Ashland, KY · Methadone Clinic
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Ultimate Care Medical Services LLC is a methadone clinic provider located in Ashland, Kentucky. This profile covers 2 Medicare and 11 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 | Ultimate Care Medical Services LLC |
| Address | 3655 Winchester Ave |
| City | Ashland |
| State | KY |
| ZIP | 41101 |
| Taxonomy | Methadone Clinic |
| NPI Enumerated | July 2, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $714.1K |
| Medicare | $378K |
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… | 1,620 | $230 | $365.4K |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and… | 130 | $100 | $13.3K |
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.
11 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) | 14,860 | $40 | $609.2K |
| T2023 | Targeted case management; per month | 690 | $100 | $66.4K |
| 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… | 120 | $70 | $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… | 100 | $80 | $7.8K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 220 | $30 | $6.7K |
| 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 | $30 | $6.6K |
| H0033 | Oral medication administration, direct observation | 40 | $60 | $2.4K |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 40 | $20 | $590 |
| 99204 | The provider sees a new 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 provider… | 10 | $50 | $560 |
| H0001 | Alcohol and/or drug assessment | 10 | $20 | $240 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
11 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) | 28 | 30 | 43,760 | $80 | $5.2M |
| T2023 | Targeted case management; per month | 236 | 530 | 530 | $300 | $1.1M |
| 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… | 2,447 | 3,340 | 1,020 | $30 | $296K |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 22 | 30 | 400 | $170 | $294.2K |
| 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… | 1,814 | 2,460 | 580 | $40 | $245K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 125 | 220 | 340 | $60 | $114.8K |
| H0001 | Alcohol and/or drug assessment | 183 | 200 | 160 | $60 | $68.1K |
| 99204 | The provider sees a new 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 provider… | 999 | 1,020 | 120 | $70 | $62K |
| 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… | 210 | 410 | 110 | $60 | $50.4K |
| H0033 | Oral medication administration, direct observation | 13 | 20 | 120 | $70 | $27.9K |
Showing 1–10 of 11
Other providers in the same ZIP code as Ultimate Care Medical Services LLC, ranked by combined Medicare and Medicaid revenue.
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