Is QUALITY ADDICTION MANAGEMENT INC flagged for Medicaid fraud?

QUALITY ADDICTION MANAGEMENT INC (NPI: 1629282470) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does QUALITY ADDICTION MANAGEMENT INC bill Medicaid?

QUALITY ADDICTION MANAGEMENT INC received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Methadone Clinic provider. Located in GREEN BAY, WI.

What is NPI 1629282470?

NPI 1629282470 is the National Provider Identifier for QUALITY ADDICTION MANAGEMENT INC. They are a Clinic/Center, Methadone Clinic provider based in GREEN BAY, WI. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

QUALITY ADDICTION MANAGEMENT INC

Clinic/Center, Methadone Clinic·GREEN BAY, WI·NPI: 1629282470Share

Compared to Clinic/Center, Methadone Clinic Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $66.8M is at the 50th percentile among 5 Clinic/Center, Methadone Clinic providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$66.8M

$66,782,520

Total Claims

4.0M

Beneficiaries

1.2M

3.3 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018

$11.3M

-7%

2019

$10.5M

-38%

2020

$6.5M

+58%

2021

$10.3M

+3%

2022

$10.6M

-4%

2023

$10.2M

-28%

2024

$7.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 53% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H0020Alcohol/drug services; methadone administrationSee all providers →

$35.3M

3.3M claims

$10.59

$18.95

0.6×

Normal range

H0020Normal range

Alcohol/drug services; methadone administration

$35.3M

3.3M claims · 52.8%

Your Cost: $10.59/claim|Median: $18.95

0.6× median

H0003 See all providers →

$23.9M

370K claims

$64.49

$13.38

4.8×

Top 25%

H0003Top 25%

$23.9M

370K claims · 35.7%

Your Cost: $64.49/claim|Median: $13.38

4.8× median

H0022 See all providers →

$7.2M

275K claims

$26.18

$32.48

0.8×

Normal range

H0022Normal range

$7.2M

275K claims · 10.8%

Your Cost: $26.18/claim|Median: $32.48

0.8× median

H0005Alcohol and/or drug services, group counselingSee all providers →

$294K

34K claims

$8.62

$47.35

0.2×

Normal range

H0005Normal range

Alcohol and/or drug services, group counseling

$294K

34K claims · 0.4%

Your Cost: $8.62/claim|Median: $47.35

0.2× median

G2067Medication-assisted treatment, opioid use disorder, per monthSee all providers →

$75K

3,324 claims

$22.67

$73.29

0.3×

Normal range

G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$75K

3,324 claims · 0.1%

Your Cost: $22.67/claim|Median: $73.29

0.3× median

99001 See all providers →

$47K

18K claims

$2.63

$2.31

1.1×

Normal range

99001Normal range

$47K

18K claims · 0.1%

Your Cost: $2.63/claim|Median: $2.31

1.1× median

86580Tuberculosis (TB) skin testSee all providers →

$28K

3,825 claims

$7.23

$4.46

1.6×

Top 25%

86580Top 25%

Tuberculosis (TB) skin test

$28K

3,825 claims · 0.0%

Your Cost: $7.23/claim|Median: $4.46

1.6× median

98966 See all providers →

$17K

2,744 claims

$6.20

$6.84

0.9×

Normal range

98966Normal range

$17K

2,744 claims · 0.0%

Your Cost: $6.20/claim|Median: $6.84

0.9× median

H0001Alcohol and/or drug assessmentSee all providers →

$1K

76 claims

$17.75

$94.22

0.2×

Normal range

H0001Normal range

Alcohol and/or drug assessment

$1K

76 claims · 0.0%

Your Cost: $17.75/claim|Median: $94.22

0.2× median

G2077 See all providers →

$836

31 claims

$26.98

$38.98

0.7×

Normal range

G2077Normal range

$836

31 claims · 0.0%

Your Cost: $26.98/claim|Median: $38.98

0.7× median

G2078 See all providers →

$512

45 claims

$11.37

$27.04

0.4×

Normal range

G2078Normal range

$512

45 claims · 0.0%

Your Cost: $11.37/claim|Median: $27.04

0.4× median

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