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    OpenPayerNPI Medicare & MedicaidPecan Haven Addiction Recovery Center, LLC
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    Pecan Haven Addiction Recovery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1366820706 · Monroe, LA · Substance Abuse Rehabilitation Facility

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    Pecan Haven Addiction Recovery Center, LLC is a substance abuse rehabilitation facility provider located in Monroe, Louisiana. This profile covers 0 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPecan Haven Addiction Recovery Center, LLC
    Address2321 Hwy 80 East
    CityMonroe
    StateLA
    ZIP71203
    TaxonomySubstance Abuse Rehabilitation Facility
    NPI EnumeratedMay 18, 2015

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

    Payer SourceTotal Paid
    Medicaid$42.3M
    Medicare$0

    Key Findings

    This provider is effectively a Medicaid-focused operator: total Medicaid revenue is $42.3M while there is none (no Medicare billing on file), indicating a single-payer footprint concentrated in state Medicaid programs rather than Medicare. The absence of Medicare billing suggests payer strategy, referral patterns, or service eligibility that aligns predominantly with Medicaid beneficiaries.

    Revenue is extremely concentrated in a single service line: the top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, with H2036 alone representing $38.1M (90.3% of Medicaid revenue). H0015 and H0011 contribute $2.1M (4.9%) and $2M (4.8%), respectively, leaving virtually no material revenue outside these three codes.

    The code mix identifies the provider as a substance use treatment operator with a strong residential/per‑diem component: H2036 (Alcohol and/or other drug treatment program, per diem) dominates billing, complemented by H0015 (intensive outpatient) and H0011 (acute detoxification/residential inpatient). This pattern suggests the organization runs a high-volume per‑diem treatment program as its primary service line while maintaining outpatient and detox capability to serve a continuum of addiction care.

    State-level competitive standing is modest-to-typical rather than dominant. For H2036 the provider ranks #17 of 57 providers in-state (71th percentile; typical, unremarkable volume for this code), for H0015 it ranks #19 of 128 (86th percentile; typical, unremarkable volume), and for H0011 it ranks #14 of 37 (64th percentile; typical, unremarkable volume). These rank/percentile positions indicate the provider is a meaningful but not market-leading participant for its highest-revenue codes in Louisiana.

    The near-total dependence on H2036 creates both operational leverage and financial concentration risk: if per‑diem rates or utilization rules for H2036 change, a large share of the provider's $42.3M Medicaid revenue could be affected. Conversely, the existing scale in a single per‑diem program may provide negotiating or throughput advantages within Medicaid networks and managed care contracts focused on residential treatment.

    Operational signals include a functioning mix across inpatient/residential (H2036, H0011) and intensive outpatient (H0015) modalities, implying the facility likely manages transitions of care between detox, residential per‑diem, and IOP. The presence of these three codes as the exclusive revenue drivers supports a business model oriented to continuous addiction treatment episodes rather than episodic or primarily outpatient counseling.

    There are no strong statistical outliers among reported codes: all major codes are annotated as "typical, unremarkable volume" in-state, and small-volume codes show limited financial impact. Notably, H0005 appears with 45 claims at $0 avg paid/claim and $0 revenue (rank #31 of 33, 6th percentile), indicating it contributes no recorded Medicaid revenue despite appearing on claims and may reflect non‑paid billings, bundling, or coding that does not generate paid reimbursement for this provider.

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2036Alcohol and/or other drug treatment program, per diem94,400$400$38.1M
    H0015Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…20,140$100$2.1M
    H0011Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem6,280$330$2M
    H0005Alcohol and/or drug services; group counseling by a clinician50$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Louisiana median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2036Alcohol and/or other drug treatment program, per diem176042,430$150$11.3M
    H0011Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem14403,520$150$1.4M
    H0015Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…191302,290$90$928.9K
    H0005Alcohol and/or drug services; group counseling by a clinician3130870$10$15.2K

    Nearby Providers

    Other providers in the same ZIP code as Pecan Haven Addiction Recovery Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cognitive Development Center Behavioral Health ServicesLAMental Health Clinic/Center (Including Community Mental Health Center)$0$38.1M
    Absolute Care,inc.LAAssisted Living Facility$0$16.8M
    Inspirational Care LLCLAIn Home Supportive Care Agency$0$11.5M
    Melanie Massey Physical Therapy IncLAPhysical Therapist$0$11.4M
    Unique Guidance Provider Services, IncLAIn Home Supportive Care Agency$0$8.3M
    Ann's Helping HandsLAPersonal Care Attendant$0$5.3M
    Inspirational Care LLCLAIn Home Supportive Care Agency$0$5.3M
    Laboratory Corporation Of America HoldingsLAClinical Medical Laboratory$1.2M$3.4M
    Jyothi MallepalliLARheumatology Physician$3.2M$0
    Luke HunterLAFoot & Ankle Surgery Podiatrist$126.4K$387.7K

    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. Louisiana Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Louisiana Distribution
    Pecan Haven Addiction Recovery Center, LLC — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana