VICTA LLC

Addiction Medicine (Internal Medicine) Physician · PROVIDENCE, RI

Organization Active NPI 1104317007

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
202415359$102,843$100,801$100,074
202314262$67,912$66,593$64,691

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G2068Medication assisted treatment, buprenorphine (oral); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opi325$283$282

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Addiction Medicine (Internal Medicine) Physician207RA0401X
Counselor101Y00000X
Addiction (Substance Use Disorder) Counselor101YA0400X
Mental Health Counselor101YM0800X
Addiction (Substance Use Disorder) Psychologist103TA0400X
Counseling Psychologist103TC1900X
Marriage & Family Therapist106H00000X
Addiction (Substance Use Disorder) Registered Nurse163WA0400X
Ambulatory Care Registered Nurse163WP2201X
Community Health Worker172V00000X
Peer Specialist175T00000X
Infectious Disease Physician207RI0200X
Mental Health Clinic/Center (Including Community Mental Health Center)261QM0801X648.01RI
Substance Use Disorder Rehabilitation Clinic/Center261QR0405X648.01RI

Other Addiction Medicine (Internal Medicine) Physician providers in Rhode Island

See all Addiction Medicine (Internal Medicine) Physician providers in Rhode Island

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.