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NPI 1558907196 · Tucson, AZ · Methadone Clinic
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Community Medical Services Arizona-private, LLC is a methadone clinic provider located in Tucson, Arizona. This profile covers 2 Medicare and 22 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 | Community Medical Services Arizona-private, LLC |
| Address | 3720 S. Park Avenue |
| City | Tucson |
| State | AZ |
| ZIP | 85713 |
| Taxonomy | Methadone Clinic |
| NPI Enumerated | November 19, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $10.7M |
| Medicare | $86.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
2 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… | 330 | $240 | $78.8K |
| 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… | 60 | $110 | $7.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 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.
22 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H2010 | Comprehensive medication services, per 15 minutes | 324,100 | $10 | $3.6M |
| 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… | 18,760 | $70 | $1.4M |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 19,800 | $60 | $1.3M |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 24,550 | $30 | $834.7K |
| T1016 | Case management, each 15 minutes | 51,720 | $20 | $827.5K |
| H0031 | Mental health assessment, by non-physician | 4,680 | $140 | $664.3K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 18,450 | $30 | $572K |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 161,000 | $1 | $483K |
| T1003 | Lpn/lvn services, up to 15 minutes | 21,350 | $10 | $298.9K |
| H0033 | Oral medication administration, direct observation | 12,780 | $20 | $204.4K |
Showing 1–10 of 22
How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arizona median
22 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H2010 | Comprehensive medication services, per 15 minutes | 16 | 80 | 71,620 | $10 | $1.7M |
| T1016 | Case management, each 15 minutes | 149 | 1,160 | 2,110 | $30 | $1.2M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 167 | 1,150 | 1,700 | $90 | $1M |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 9 | 20 | 17,040 | $30 | $687K |
| H0038 | Self‑help/peer services, per 15 minutes | 123 | 580 | 1,250 | $80 | $479.7K |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 17 | 70 | 62,920 | $1 | $408.4K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 25 | 170 | 3,560 | $30 | $397.9K |
| H0031 | Mental health assessment, by non-physician | 130 | 810 | 280 | $120 | $360.5K |
| 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… | 209 | 3,040 | 750 | $50 | $343.9K |
| 87661 | The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique. | 30 | 50 | 200 | $20 | $305.7K |
Showing 1–10 of 22
Other providers in the same ZIP code as Community Medical Services Arizona-private, LLC, ranked by combined Medicare and Medicaid revenue.
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