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NPI 1447813639 · Newport News, VA · Methadone Clinic
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American Addiction Treatment Center, Inc is a methadone clinic provider located in Newport News, Virginia. This profile covers 1 Medicare and 17 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 | American Addiction Treatment Center, Inc |
| Address | 12695 Mcmanus Boulevard |
| City | Newport News |
| State | VA |
| ZIP | 23602 |
| Taxonomy | Methadone Clinic |
| NPI Enumerated | April 15, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $9.2M |
| Medicare | $80.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
1 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… | 340 | $240 | $80.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
1 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| G2067 | 17 | 20 | 450 | $240 | $133.1K |
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.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 369,540 | $10 | $3M |
| S0201 | Partial hospitalization services, less than 24 hours, per diem | 5,310 | $420 | $2.2M |
| S0109 | Methadone, oral, 5 mg | 426,940 | $1 | $1.7M |
| G9012 | Other specified case management service not elsewhere classified | 3,480 | $200 | $685.2K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 13,250 | $40 | $529.9K |
| H2034 | Alcohol and/or drug abuse halfway house services, per diem | 2,550 | $160 | $414.8K |
| 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… | 30,050 | $10 | $270.4K |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 21,780 | $10 | $217.8K |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | 860 | $110 | $95.9K |
| 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… | 1,050 | $30 | $33.5K |
Showing 1–10 of 17
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
17 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| S0201 | Partial hospitalization services, less than 24 hours, per diem | 23 | 80 | 1,870 | $470 | $2.9M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 19 | 50 | 274,670 | $10 | $2.8M |
| H2034 | Alcohol and/or drug abuse halfway house services, per diem | 17 | 20 | 8,970 | $160 | $2.6M |
| S0109 | Methadone, oral, 5 mg | 16 | 50 | 177,970 | $10 | $1.7M |
| G9012 | Other specified case management service not elsewhere classified | 46 | 120 | 2,160 | $220 | $1.6M |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 6 | 20 | 5,660 | $20 | $459.6K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 31 | 100 | 3,280 | $40 | $455.8K |
| 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… | 1,246 | 4,010 | 290 | $50 | $199.8K |
| J0572 | Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine | 5 | 10 | 3,250 | $10 | $158.8K |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | 14 | 50 | 410 | $130 | $117.7K |
Showing 1–10 of 17
Other providers in the same ZIP code as American Addiction Treatment Center, Inc, ranked by combined Medicare and Medicaid revenue.
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