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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCodac Inc
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    Codac Inc — Billing Profile & Reimbursement Data

    NPI 1215153945 · Providence, RI · Methadone Clinic

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    Codac Inc is a methadone clinic provider located in Providence, Rhode Island. This profile covers 3 Medicare and 12 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)

    FieldValue
    Entity TypeOrganization
    OrganizationCodac Inc
    Address349 Huntington Ave
    CityProvidence
    StateRI
    ZIP02909
    TaxonomyMethadone Clinic
    NPI EnumeratedApril 18, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$2.7M
    Medicare$206.4K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…930$220$200.4K
    G2078Take-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 procedure130$40$4.5K
    G2074Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services…20$90$1.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G2067310590$230$141.6K
    G207441060$190$19.5K
    G2078610220$40$11.6K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)30,080$60$1.7M
    H0037Community psychiatric supportive treatment program, per diem4,870$200$954.3K
    H0047Alcohol and/or other drug abuse services, not otherwise specified220$380$82.7K
    99214The 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…190$40$7K
    90837In 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…70$70$4.8K
    90832In 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…20$40$630
    90636This code represents a vaccine product administered into a muscle to protect against hepatitis A and hepatitis B, which are liver infections. This code is specific to an adult dosage.10$0$0
    G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…4,100$0$0
    G2078Take-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 procedure1,480$0$0
    H0006Alcohol and/or drug services; case management4,280$0$0

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

    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

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)123012,240$50$3.9M
    H0037Community psychiatric supportive treatment program, per diem1270190$380$3.2M
    H0047Alcohol and/or other drug abuse services, not otherwise specified20201,280$220$1.6M
    G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…410680$130$651.1K
    J0574Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine2101,620$20$217.8K
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes1090510$10$187.5K
    90837In 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…279360280$90$86.4K
    99214The 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…9011,730220$70$75.2K
    90832In 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…175190270$40$51K
    G2078Take-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 procedure2101,220$20$38.1K

    Showing 1–10 of 12

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Codac Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Codac IncRISubstance Use Disorder Rehabilitation Clinic/Center$0$54.3M
    Catherine DegoodRIAddiction Medicine (Family Medicine) Physician$3.1K$1.1M
    Codac IncRIMethadone Clinic$91.7K$352.6K
    Codac IncRIMethadone Clinic$55.6K$194.3K

    Nearby Providers

    Other providers in the same ZIP code as Codac Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Cove Center, Inc.RIDevelopmentally Disabled Services Day Training Agency$0$58.7M
    Groden Center, Inc.RICommunity/Behavioral Health Agency$0$6.6M
    Easter Seals Rhode IslandRIChild Intellectual and/or Developmental Disabilities Respite Care$0$6.5M
    Groden Center, Inc.RICommunity/Behavioral Health Agency$0$4.4M
    Groden Center, Inc.RIDevelopmentally Disabled Services Day Training Agency$0$3.3M
    Upward Health Solutions Rhode Island LLCRICase Management Agency$0$2M
    Easter Seals Rhode IslandRIDevelopmentally Disabled Services Day Training Agency$0$1.7M
    Jessica WaughRIBehavior Analyst$0$1.6M
    Lonice ThomasRIPediatrics Physician$0$1.1M
    Karen NgRIFamily Medicine Physician$430$889.2K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Rhode Island Distribution
    Codac Inc — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island
    Medicaid Revenue by Year vs. Rhode Island Providers
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Codac Inc — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island