CROSSROADS TREATMENT CENTER OF CHARLESTON, PC

Substance Use Disorder Rehabilitation Clinic/Center · NORTH CHARLESTON, SC

Organization Active NPI 1114460375

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	20	793	$388,789	$151,759	$148,602
2023	21	962	$420,808	$156,765	$153,691
2022	30	1,449	$568,088	$186,081	$180,099

HCPCS	Description	Services	Avg allowed	Avg paid
G2067	Medication assisted treatment, methadone; 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 opioid treatm	568	$245	$239
G2077	Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for	31	$116	$116

Specialty	Code	Primary	License	State
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	✓	—	—
Community/Behavioral Health Agency	251S00000X		—	—
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X		—	—
Multi-Specialty Clinic/Center	261QM1300X		—	—
Methadone Clinic	261QM2800X		—	—
Primary Care Clinic/Center	261QP2300X		—	—

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