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    OpenPayerNPI Medicare & MedicaidGhr Center For Opioid Addiction Treatment And Reco…
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    Ghr Center For Opioid Addiction Treatment And Recovery LLC — Billing Profile & Reimbursement Data

    NPI 1265970263 · Norfolk, VA · Addiction Medicine (Internal Medicine) Physician

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    Table of contents

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    Ghr Center For Opioid Addiction Treatment And Recovery LLC is a addiction medicine (internal medicine) physician provider located in Norfolk, Virginia. This profile covers 0 Medicare and 28 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
    OrganizationGhr Center For Opioid Addiction Treatment And Recovery LLC
    Address850 Tidewater Dr Ste A
    CityNorfolk
    StateVA
    ZIP23504
    TaxonomyAddiction Medicine (Internal Medicine) Physician
    NPI EnumeratedFebruary 9, 2017

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

    Payer SourceTotal Paid
    Medicaid$5.8M
    Medicare$0

    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0004Behavioral health counseling and therapy, per 15 minutes34,010$60$1.9M
    G9012Other specified case management service not elsewhere classified8,910$190$1.7M
    99213The 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…32,340$40$1.3M
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…5,350$40$203.3K
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…19,180$10$153.4K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…1,800$70$120.7K
    H0005Alcohol and/or drug services; group counseling by a clinician4,210$30$117.8K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.770$100$74.9K
    H0014Alcohol and/or drug services; ambulatory detoxification640$120$74.6K
    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…910$60$58.5K

    Showing 1–10 of 28

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Virginia median

    28 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G9012Other specified case management service not elsewhere classified291202,160$220$1.6M
    H0004Behavioral health counseling and therapy, per 15 minutes111003,280$40$455.8K
    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…1,2243,520370$70$280.7K
    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…6011,340710$90$245K
    99213The 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…884,010290$50$199.8K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…69400370$30$162.2K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…265290360$50$160.1K
    S9445Patient education, not otherwise classified, non-physician provider, individual, per session1420280$30$119.1K
    H0014Alcohol and/or drug services; ambulatory detoxification2050410$130$117.7K
    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…157330270$40$112.2K

    Showing 1–10 of 28

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Ghr Center For Opioid Addiction Treatment And Recovery LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gene GermanoVAAddiction Medicine (Psychiatry & Neurology) Physician$27K$4.9K

    Nearby Providers

    Other providers in the same ZIP code as Ghr Center For Opioid Addiction Treatment And Recovery LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Briggs Home Health AgencyVAPersonal Care Attendant$0$36.4M
    Family And Child Empowerment Services, Inc.VACommunity/Behavioral Health Agency$0$8.2M
    Because We Care Ii, IncVACommunity/Behavioral Health Agency$0$6.5M
    Vincent VerdiVAOphthalmology Physician$831.5K$0
    Frank MercerVAPrimary Podiatric Medicine Podiatrist$97.3K$378.6K
    Quentin FranklinVAOphthalmology Physician$438.3K$0
    Peoples Pharmacy, LLCVACommunity/Retail Pharmacy$180.1K$250
    James NewbyVAFamily Medicine Physician$98.4K$3.3K

    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.

    Medicaid Revenue by Year vs. Virginia Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Ghr Center For Opioid Addiction Treatment And Recovery LLC — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia