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G0397
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes
Medicaid paid $127.38M on code G0397 from 2018 through 2024, to 287 providers — the #610 code in the file by dollars. 93% of it was billed in New York.
28Total paid$127.38M
24GClaims901,302
Paid per claim line$141.33
33Providers billing it287
Box 32 · Location
Where G0397 is billed
The largest of 14 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.
Ranked
Top providers billing G0397
| # | Provider | Location | Claims | Paid on G0397 |
|---|---|---|---|---|
| 1 | Buffalo Beacon Corporation | Amherst, NY | 96,705 | $12.13M |
| 2 | Vertex LLC | Bronx, NY | 67,539 | $10.51M |
| 3 | Montefiore Medical Center | Bronx, NY | 58,520 | $9.61M |
| 4 | Revcore Recovery Center of Manhattan, LLC | New York, NY | 56,200 | $7.85M |
| 5 | The Unity Hospital of Rochester | Rochester, NY | 34,619 | $4.99M |
| 6 | Bridge Back to Life Center, INC. | Bethpage, NY | 24,982 | $3.73M |
| 7 | Huther-Doyle Memorial Institute INC | Rochester, NY | 20,907 | $2.69M |
| 8 | Camelot of Staten Island, INC. | Staten Island, NY | 17,583 | $2.55M |
| 9 | Beth Israel Medical Center | Brooklyn, NY | 17,730 | $2.52M |
| 10 | The Resource Training Center | Staten Island, NY | 16,215 | $2.47M |
| 11 | University of Rochester | Rochester, NY | 9,950 | $2.41M |
| 12 | Child & Family Guidance Center Addiction Services INC | Highland, NY | 20,141 | $2.23M |
| 13 | Farnham INC. | Oswego, NY | 15,878 | $2.03M |
| 14 | Champlain Valley Family Center | Plattsburgh, NY | 14,357 | $1.81M |
| 15 | The Pac Program of the Bronx | Bronx, NY | 11,633 | $1.76M |
| 16 | Alcoholism & Substance Abuse Council of Schenectady County, INC. | Schenectady, NY | 12,565 | $1.66M |
| 17 | County of Wayne | Lyons, NY | 12,721 | $1.61M |
| 18 | County of San Diego | San Diego, CA | 5,075 | $1.56M |
| 19 | Inwood Community Services, INC. | New York, NY | 10,070 | $1.49M |
| 20 | Success Counseling Services, INC. | Bronx, NY | 9,399 | $1.47M |
| 21 | Department of Behavioral Health | Fresno, CA | 4,285 | $1.36M |
| 22 | ST Josephs Hospital Yonkers | Harrison, NY | 9,252 | $1.35M |
| 23 | Richmond Medical Center | Staten Island, NY | 7,879 | $1.28M |
| 24 | Lower Eastside Service Center, INC. | New York, NY | 9,372 | $1.24M |
| 25 | Rego Park Counseling LLC | Rego Park, NY | 11,431 | $1.23M |
| 26 | Staten Island University Hospital | Staten Island, NY | 7,611 | $1.17M |
| 27 | Crouse Health Hospital, INC. | Syracuse, NY | 7,934 | $1.08M |
| 28 | ST Lukes Roosevelt Hospital Center | New York, NY | 5,804 | $1.06M |
| 29 | County of Santa Clara | San Jose, CA | 2,296 | $1.06M |
| 30 | 820 River Street INC. | Queensbury, NY | 7,934 | $1.06M |
| 31 | Greenwich House INC | New York, NY | 7,606 | $1.04M |
| 32 | Baden Street Settlement of Rochester, INC | Rochester, NY | 7,880 | $1.03M |
| 33 | Conifer Park, INC | Glenville, NY | 8,141 | $1.01M |
| 34 | Council on Addiction Recovery Services, INC. | Olean, NY | 7,287 | $905K |
| 35 | 820 River Street INC. | Schenectady, NY | 6,732 | $817K |
| 36 | BGR Services INC. | Brooklyn, NY | 5,188 | $787K |
| 37 | Action for a Better Community, INC. | Rochester, NY | 5,897 | $763K |
| 38 | Areba Casriel, INC. | Brooklyn, NY | 5,256 | $751K |
| 39 | Samaritan Medical Center | Watertown, NY | 5,186 | $724K |
| 40 | Innovative Health Systems, INC. | White Plains, NY | 4,194 | $638K |
| 41 | Ithaca Alpha House Center, INC. | Ithaca, NY | 5,252 | $622K |
| 42 | Counseling Service of Edny, INC. | Brooklyn, NY | 4,209 | $611K |
| 43 | Brooklyn Center for Psychotherapy,inc. | Brooklyn, NY | 4,438 | $589K |
| 44 | Rochester General Hospital | Rochester, NY | 3,879 | $582K |
| 45 | ST. Mary's Healthcare | Amsterdam, NY | 4,635 | $578K |
| 46 | Lexington Center for Recovery, INC. | Peekskill, NY | 3,804 | $577K |
| 47 | Rome Memorial Hospital, INC. | Rome, NY | 4,159 | $562K |
| 48 | Counseling Services of New York LLC | Bronx, NY | 3,777 | $558K |
| 49 | Montefiore Nyack Hospital | Nyack, NY | 3,594 | $548K |
| 50 | Catholic Charities of the Diocese of Rochester | Rochester, NY | 4,258 | $527K |
| 51 | County of Sacramento | Sacramento, CA | 1,595 | $518K |
| 52 | County of Tulare | Visalia, CA | 1,489 | $510K |
| 53 | AIDS Service Center of Lower Manhattan | New York, NY | 3,334 | $507K |
| 54 | Oceanside Counseling Center,inc | Oceanside, NY | 3,415 | $507K |
| 55 | Startcare, INC. | Brooklyn, NY | 3,487 | $497K |
| 56 | ST. John's Riverside Hospital | Yonkers, NY | 3,002 | $496K |
| 57 | Canton-Potsdam Hospital | Potsdam, NY | 3,284 | $495K |
| 58 | St.Vincent's Hospital Westchester a Division of Saint Joseph's Medical | Harrison, NY | 3,085 | $482K |
| 59 | Carnegie Hill Institute | New York, NY | 2,930 | $454K |
| 60 | Restorative Management Corp | Middletown, NY | 2,893 | $439K |
| 61 | West Midtown Management Group INC | New York, NY | 3,018 | $419K |
| 62 | Whitney M. Young, JR. Health Center, INC. | Albany, NY | 3,317 | $409K |
| 63 | ST. Barnabas Hospital | Bronx, NY | 2,728 | $406K |
| 64 | The Educational Alliance, INC. | New York, NY | 2,436 | $404K |
| 65 | County of Kern | Bakersfield, CA | 1,485 | $399K |
| 66 | Elmcor Youth & Adult Activities INC | Corona, NY | 2,986 | $394K |
| 67 | County of Ventura | Oxnard, CA | 1,371 | $386K |
| 68 | Conifer Park, INC. | Rochester, NY | 2,953 | $382K |
| 69 | South Brooklyn Medical Administrative Services, INC. | Brooklyn, NY | 2,709 | $375K |
| 70 | Q.S.A Services INC. | Long Island City, NY | 2,517 | $371K |
| 71 | Professional Counseling Services, INC | Camillus, NY | 2,839 | $371K |
| 72 | The Young Men's Christian Association of Long Island Incorporated | Holtsville, NY | 2,495 | $366K |
| 73 | New York City Health and Hospitals Corporation | Elmhurst, NY | 2,229 | $361K |
| 74 | Families and Individuals in Recovery | New York, NY | 2,469 | $361K |
| 75 | Finger Lakes Area Counseling and Recovery Agency, INC. | Clifton Springs, NY | 3,262 | $358K |
| 76 | Contra Costa County | Martinez, CA | 1,139 | $347K |
| 77 | ST. Peter's Hospital of the City of Albany | Albany, NY | 2,513 | $331K |
| 78 | Lower Eastside Service Center | New York, NY | 2,237 | $307K |
| 79 | ST Regis Mohawk Tribe | Akwesasne, NY | 586 | $296K |
| 80 | Youth Environmental Services, INC. | Massapequa, NY | 1,779 | $283K |
| 81 | New York City Health and Hospitals Corporation | Brooklyn, NY | 1,651 | $282K |
| 82 | ST Lawrence County | Canton, NY | 2,121 | $278K |
| 83 | Exponents | New York, NY | 1,913 | $258K |
| 84 | Equinox INC | Albany, NY | 1,917 | $245K |
| 85 | ST. Joseph's Hospital, Yonkers | Yonkers, NY | 1,643 | $241K |
| 86 | Comprehensive Pain Management Institute, LLC | Columbus, OH | 11,108 | $241K |
| 87 | Conifer Park, INC. | Schenectady, NY | 1,933 | $236K |
| 88 | Carnegie Hill Institute, INC. | New York, NY | 1,707 | $235K |
| 89 | Seneca County Addictions Program | Waterloo, NY | 1,810 | $235K |
| 90 | Scan-New York-Volunteer Parent Association | Bronx, NY | 1,548 | $232K |
| 91 | Project Hospitality INC. | Staten Island, NY | 1,463 | $221K |
| 92 | County of Tulare | Visalia, CA | 476 | $218K |
| 93 | Conifer Park, INC. | Troy, NY | 1,694 | $213K |
| 94 | Startcare, INC. | New York, NY | 1,483 | $202K |
| 95 | Project Renewal INC | New York, NY | 1,327 | $202K |
| 96 | Arms Acres INC | Carmel, NY | 1,300 | $188K |
| 97 | Delphi Drug & Alcohol Council, INC | Rochester, NY | 1,451 | $188K |
| 98 | El Centro Adult Substance Use Disorder Treatment Program | El Centro, CA | 485 | $186K |
| 99 | Catholic Charities of the Diocese of Rockville Centre | Hampton Bays, NY | 1,199 | $185K |
| 100 | The Brookdale Hospital Medical Center | Brooklyn, NY | 1,315 | $183K |