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NPI 1780158261 · West Allis, WI · Methadone Clinic
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Premier Care Of Wisconsin, LLC. is a methadone clinic provider located in West Allis, Wisconsin. This profile covers 2 Medicare and 10 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 | Premier Care Of Wisconsin, LLC. |
| Address | 2814 S 108th St |
| City | West Allis |
| State | WI |
| ZIP | 53227 |
| Taxonomy | Methadone Clinic |
| NPI Enumerated | January 17, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $11.2M |
| Medicare | $204.8K |
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… | 880 | $230 | $199.5K |
| 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 | $110 | $5.3K |
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.
10 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) | 860,460 | $10 | $6.9M |
| H0003 | Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs | 59,580 | $50 | $3.2M |
| H0022 | Alcohol and/or drug intervention service (planned facilitation) | 27,920 | $30 | $698.1K |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 3,080 | $10 | $37K |
| 98966 | A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes… | 5,880 | $10 | $29.4K |
| 86580 | The lab analyst performs an intradermal skin test on a patient to test for tuberculosis. | 2,170 | $10 | $13K |
| 99001 | The provider prepares a specimen collected from a patient at a location other than the provider’s office and sends it to an outside laboratory for analysis. | 5,410 | $1 | $10.8K |
| H0001 | Alcohol and/or drug assessment | 540 | $10 | $6.5K |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | 400 | $10 | $2.4K |
| 98967 | A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes… | 70 | $10 | $480 |
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H0003 | Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs | 5 | 100 | 150 | $60 | $657.7K |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 2 | 240 | 380 | $10 | $397.8K |
| H0022 | Alcohol and/or drug intervention service (planned facilitation) | 7 | 190 | 400 | $30 | $140.3K |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | 6 | 10 | 400 | $110 | $136.9K |
| H0001 | Alcohol and/or drug assessment | 2 | 20 | 40 | $210 | $31.4K |
| 99001 | The provider prepares a specimen collected from a patient at a location other than the provider’s office and sends it to an outside laboratory for analysis. | 4 | 50 | 740 | $10 | $20.7K |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 2 | 20 | 130 | $30 | $15.8K |
| 98966 | A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes… | 1 | 20 | 670 | $10 | $6.2K |
| 86580 | The lab analyst performs an intradermal skin test on a patient to test for tuberculosis. | 3 | 50 | 200 | $10 | $2.8K |
| 98967 | A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes… | 3 | 10 | 50 | $10 | $530 |
Other providers in the same ZIP code as Premier Care Of Wisconsin, LLC., ranked by combined Medicare and Medicaid revenue.
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