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NPI 1366853954 · Charlottesville, VA · Methadone Clinic
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Addiction Recovery Systems LLC is a methadone clinic provider located in Charlottesville, Virginia. This profile covers 3 Medicare and 18 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 | Addiction Recovery Systems LLC |
| Address | 103 S Pantops Dr |
| City | Charlottesville |
| State | VA |
| ZIP | 22911 |
| Taxonomy | Methadone Clinic |
| NPI Enumerated | May 16, 2014 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $11.5M |
| Medicare | $127.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 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… | 440 | $240 | $103.9K |
| G2078 | Take-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 procedure | 470 | $40 | $18.4K |
| 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… | 50 | $120 | $5.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 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.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| S0109 | Methadone, oral, 5 mg | 732,120 | $10 | $4.4M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 504,510 | $10 | $4M |
| G9012 | Other specified case management service not elsewhere classified | 6,360 | $230 | $1.5M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 21,820 | $60 | $1.2M |
| 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… | 4,060 | $80 | $308.5K |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 9,440 | $20 | $179.3K |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | 810 | $130 | $104.4K |
| 80305 | The 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… | 10,550 | $10 | $73.9K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 1,450 | $30 | $36.2K |
| 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… | 300 | $40 | $13K |
Showing 1–10 of 18
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
18 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) | 10 | 50 | 274,670 | $10 | $2.8M |
| S0109 | Methadone, oral, 5 mg | 7 | 50 | 177,970 | $10 | $1.7M |
| G9012 | Other specified case management service not elsewhere classified | 35 | 120 | 2,160 | $220 | $1.6M |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 8 | 20 | 5,660 | $20 | $459.6K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 21 | 100 | 3,280 | $40 | $455.8K |
| 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… | 1,865 | 3,520 | 370 | $70 | $280.7K |
| 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… | 2,288 | 4,010 | 290 | $50 | $199.8K |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | 16 | 50 | 410 | $130 | $117.7K |
| 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… | 39 | 610 | 150 | $90 | $104K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 31 | 80 | 760 | $20 | $86.5K |
Showing 1–10 of 18
Other providers in the same ZIP code as Addiction Recovery Systems LLC, ranked by combined Medicare and Medicaid revenue.
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