Methadone Clinic Of East Texas Llc

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NPI Number Detailed Information

Provider Information:

Name:	Methadone Clinic Of East Texas Llc
Gender:
Provider License Number If Given:

NPI Information:

NPI:	1104144088
Entity Type (Individual or Organization):	2-org
Enumeration Date:	5/17/2010
Last Update Date:	6/18/2022

Provider Business Mailing Address:

Address:	200 E BROAD ST STE 300 Greenville, SC 29601
Phone Number:	8008056989
Fax Number:	8645588511

Provider Business Practice Location Address:

Address:	1510 S VINE AVE Tyler, TX 75701
Phone Number:	8008056989
Fax Number:

Provider Taxonomy:

Primary:	251S00000X
Secondary (if any):	261QM0801X
State:	TX

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About Methadone Clinic Of East Texas Llc

Methadone Clinic Of East Texas Llc ( METHADONE CLINIC OF EAST TEXAS LLC ) is A Community/Behavioral Health Provider in Tyler, TX. The NPI Number for Methadone Clinic Of East Texas Llc is 1104144088.

The current location address for Methadone Clinic Of East Texas Llc is 1510 S VINE AVE Tyler, TX 75701 and the contact number is 8008056989 and fax number is 8645588511. The mailing address for Methadone Clinic Of East Texas Llc is 200 E BROAD ST STE 300 Greenville, SC 29601- 8008056989 (mailing address contact number - 8008056989).

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Provider Business Location on Map

FAQs:

What is the NPI Number for Methadone Clinic Of East Texas Llc ?

Answer: The NPI Number for Methadone Clinic Of East Texas Llc is 1104144088

Where is Methadone Clinic Of East Texas Llc located?

Answer: Methadone Clinic Of East Texas Llc is located at 1510 S VINE AVE Tyler, TX 75701.

What is the specialty for Methadone Clinic Of East Texas Llc ?

Answer: The Specialty of Methadone Clinic Of East Texas Llc is A Community/Behavioral Health Provider.

Are there any online reviews for Methadone Clinic Of East Texas Llc ?

Answer: Not yet!

Are there any other health care providers in Tyler, TX?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Methadone Clinic Of East Texas Llc

Number of HCPCS	7
Number of Medicare Beneficiaries	28
Number of Services	1198
Total Submitted Charge Amount	513085.83
Total Medicare Allowed Amount	169190.64
Total Medicare Payment Amount	165936.46
Total Medicare Standardized Payment Amount	162616.63
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	7
Number of Medicare Beneficiaries With Medical	28
Number of Medical Services	1198
Total Medical Submitted Charge Amount	513085.83
Total Medical Medicare Allowed Amount	169190.64
Total Medical Medicare Payment Amount	165936.46
Total Medical Medicare Standardized Payment Amount	162616.63
Average Age of Beneficiaries	56
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	17
Number of Male Beneficiaries	11
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension	0.43
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis	0
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke	0
Average HCC Risk Score of Beneficiaries	1.3657

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