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    OpenPayerNPI Medicare & MedicaidCrossroads Treatment Center Of Seneca, PC
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    Crossroads Treatment Center Of Seneca, PC — Billing Profile & Reimbursement Data

    NPI 1477096634 · Seneca, SC · Substance Use Disorder Rehabilitation Clinic/Center

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    Crossroads Treatment Center Of Seneca, PC is a substance use disorder rehabilitation clinic/center provider located in Seneca, South Carolina. This profile covers 0 Medicare and 6 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
    OrganizationCrossroads Treatment Center Of Seneca, PC
    Address209 Oconee Square Dr
    CitySeneca
    StateSC
    ZIP29678
    TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
    NPI EnumeratedNovember 21, 2016

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

    Payer SourceTotal Paid
    Medicaid$1.9M
    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.

    6 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…13,260$100$1.4M
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)4,990$100$503.9K
    99408The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.2,480$10$29.7K
    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…540$50$24.6K
    G2077Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and…200$90$19.1K
    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…20$50$770

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. South Carolina median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…173014,040$100$1.6M
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)11204,620$100$492.6K
    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…63160270$70$268.1K
    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…2,4512,770210$60$254.5K
    G2077Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and…1820610$90$76.6K
    99408The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.12090$10$4.8K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Crossroads Treatment Center Of Seneca, PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Elizabeth HinzSCFamily Nurse Practitioner$47.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Crossroads Treatment Center Of Seneca, PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Issaqueena Pediatric Dentistry P.A.SCPediatric Dentistry$0$15.3M
    Oconee PediatricsSCRural Health Clinic/Center$0$8.5M
    Blue Ridge Pediatrics LLCSCRural Health Clinic/Center$0$5.6M
    Keowee Primary Care & Internal Medicine PCSCInternal Medicine Physician$0$2M
    Childrens Therapy Center, Inc.SCPediatric Occupational Therapist$0$1.6M
    Tauqueer AlamSCInternal Medicine Physician$652.5K$26K
    The Blue Ridge Clemson Orthopaedic Asc LLCSCAmbulatory Surgical Clinic/Center$553.6K$0
    Jared RichardsonSCFamily Medicine Physician$489.3K$0
    Osman HicklinSCDiagnostic Radiology Physician$381.3K$0
    Scott MassiosSCOphthalmology Physician$369.2K$0

    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. South Carolina Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Crossroads Treatment Center Of Seneca, PC — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina