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NPI 1609153675 · Quakertown, PA · Methadone Clinic
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Northeast Family Health Care, LLC is a methadone clinic provider located in Quakertown, Pennsylvania. This profile covers 1 Medicare and 13 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 | Northeast Family Health Care, LLC |
| Address | 1040 S West End Blvd |
| City | Quakertown |
| State | PA |
| ZIP | 18951 |
| Taxonomy | Methadone Clinic |
| NPI Enumerated | November 4, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $7.8M |
| Medicare | $158.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
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… | 630 | $250 | $158.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
1 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| G2067 | 17 | 50 | 540 | $230 | $136.1K |
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.
13 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) | 320,400 | $10 | $2.9M |
| G9012 | Other specified case management service not elsewhere classified | 7,370 | $270 | $2M |
| T1015 | Clinic visit/encounter, all-inclusive | 18,320 | $100 | $1.8M |
| 90832 | In 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… | 11,030 | $30 | $364.1K |
| 90837 | In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or… | 3,080 | $80 | $255.2K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 2,310 | $70 | $168.3K |
| 90834 | In 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… | 2,210 | $70 | $148.1K |
| H0034 | Medication training and support, per 15 minutes | 1,010 | $70 | $69.5K |
| 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… | 1,230 | $50 | $65K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 1,720 | $30 | $48K |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
13 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 155 | 1,690 | 760 | $170 | $1.2M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 13 | 80 | 74,580 | $10 | $1.2M |
| 90834 | In 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… | 347 | 690 | 2,240 | $80 | $1M |
| G9012 | Other specified case management service not elsewhere classified | 24 | 320 | 770 | $260 | $758K |
| 90837 | In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or… | 176 | 560 | 1,400 | $90 | $485.7K |
| 90832 | In 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… | 78 | 540 | 1,490 | $50 | $316.4K |
| H0034 | Medication training and support, per 15 minutes | 158 | 260 | 1,710 | $80 | $279.8K |
| 90853 | Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of… | 193 | 340 | 2,010 | $50 | $269.8K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 253 | 980 | 310 | $50 | $136.6K |
| 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… | 1,771 | 8,870 | 240 | $40 | $56.1K |
Showing 1–10 of 13
Other providers in the same ZIP code as Northeast Family Health Care, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| New Vitae, Inc. | PA | Community/Behavioral Health Agency | $0 | $24.8M |
| St Lukes Emergency & Transport Services, Inc | PA | Land Ambulance | $1.8M | $4.3M |
| Timothy Howard | PA | Rheumatology Physician | $1.5M | $0 |
| David Twardzik | PA | Dermatology Physician | $409.1K | $0 |
| Paul Weidner | PA | Orthopaedic Surgery Physician | $393K | $0 |
| Diane Schmidt | PA | Endocrinology, Diabetes & Metabolism Physician | $240K | $0 |
| Austin Sedicum | PA | Podiatrist | $177.7K | $0 |
| Farooq Qureshi | PA | Pain Medicine (Anesthesiology) Physician | $164.4K | $0 |
| William Kracht | PA | Family Medicine Physician | $144.2K | $0 |
| Gary Ledley | PA | Cardiovascular Disease Physician | $133.5K | $5.6K |
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