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    OpenPayerNPI Medicare & MedicaidBhg Lvii, LLC
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    Bhg Lvii, LLC — Billing Profile & Reimbursement Data

    NPI 1306479670 · Pawtucket, RI · Substance Use Disorder Rehabilitation Clinic/Center

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    Bhg Lvii, LLC is a substance use disorder rehabilitation clinic/center provider located in Pawtucket, Rhode Island. This profile covers 1 Medicare and 7 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
    OrganizationBhg Lvii, LLC
    Address82 Pond St
    CityPawtucket
    StateRI
    ZIP02860
    TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
    NPI EnumeratedFebruary 14, 2020

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

    Payer SourceTotal Paid
    Medicaid$1.1M
    Medicare$55.6K

    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.

    1 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…230$240$55.6K

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G2067910590$230$141.6K

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)9,830$90$914.5K
    H0047Alcohol and/or other drug abuse services, not otherwise specified830$220$183.7K
    G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…130$180$23.8K
    H0004Behavioral health counseling and therapy, per 15 minutes150$120$18K
    H0037Community psychiatric supportive treatment program, per diem20$80$1.4K
    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 procedure20$40$790
    H0006Alcohol and/or drug services; case management170$0$0

    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

    7 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)173012,240$50$3.9M
    H0037Community psychiatric supportive treatment program, per diem6470190$380$3.2M
    H0047Alcohol and/or other drug abuse services, not otherwise specified13201,280$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…1010680$130$651.1K
    H0004Behavioral health counseling and therapy, per 15 minutes5480340$70$223.7K
    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 procedure5101,220$20$38.1K
    H0006Alcohol and/or drug services; case management2130940$0$0

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sylvester SvioklaRIAddiction Medicine (Family Medicine) Physician$0$4.2M
    Bhg Lvii, LLCRISubstance Use Disorder Rehabilitation Clinic/Center$0$2.7M
    Bhg Lvii, LLCRISubstance Use Disorder Rehabilitation Clinic/Center$148.3K$2M
    Fredy RolandRIInternal Medicine Physician$21.4K$1.4M
    Bhg Lvii, LLCRISubstance Use Disorder Rehabilitation Clinic/Center$0$1.1M
    Daniel ReganRIFamily Medicine Physician$44.2K$265K

    Nearby Providers

    Other providers in the same ZIP code as Bhg Lvii, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gateway Healthcare IncRIMental Health Clinic/Center (Including Community Mental Health Center)$0$122.7M
    Nursing Placement, Inc.RIHome Health Agency$0$63.4M
    United Cerebral Palsy Of Rhode Island, Inc.RIDevelopmentally Disabled Services Day Training Agency$0$21.3M
    Lifetime Financial Management Inc.RIHome Health Agency$0$20.9M
    Addiction Recovery InstituteRICommunity/Behavioral Health Agency$180.1K$15.4M
    Blackstone Valley Community Health CareRIFederally Qualified Health Center (FQHC)$0$14.2M
    Blackstone Valley Community Health Care, Inc.RIFederally Qualified Health Center (FQHC)$0$12.4M
    United Cerebral Palsy Of Rhode Island, Inc.RIDevelopmentally Disabled Services Day Training Agency$0$9.6M
    Dr. Day Care, Inc.RICounselor$0$8.7M
    Sheila BrijadeRIPediatric Dentistry$0$7.7M

    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
    Bhg Lvii, LLC — 0 of 1 code 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
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Bhg Lvii, LLC — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island