Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Organization for Recovery,inc.

Organization for Recovery,inc. was paid $16.37M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 43% of everything it billed.

33Billing provider infoORGANIZATION FOR RECOVERY,INC.
PLAINFIELD, NJ 07060
33aNPI1033485628assigned 03/28/2012
33bProvider typeMethadone Clinic
28Total paid$16.37M
24GClaims234,735
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Methadone Clinic providers in New Jersey

Rank by total paid#6 of 33
Median peer was paid$4.86M
This provider vs. median3.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201834,900$2.40M
201936,939$2.56M
202032,944$2.23M
202134,172$2.28M
202236,179$2.36M
202333,278$2.42M
2024incomplete26,323$2.13M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 43% 77,126 18,716 $6.98M
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 treatment program) 31% 53,063 14,479 $5.08M
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 14% 20,673 2,157 $2.30M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.2% 9,792 9,219 $523K
90792 Psychiatric diagnostic evaluation with medical services 1.3% 546 539 $218K
G2068 Medication 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 opioid treatment program) 1.1% 1,014 306 $178K
G2078 Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure 1.0% 4,714 2,763 $170K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity <1% 1,941 1,933 $156K
G2074 Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) <1% 1,857 1,195 $130K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 1,321 342 $123K
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood <1% 48,902 24,275 $122K
G2076 Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code <1% 287 281 $116K
7 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,368 $101K
H0033 Oral medication administration, direct observation <1% 495 $94K
H0003 Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs <1% 9,484 $43K
90853 Group psychotherapy (other than of a multiple-family group) <1% 808 $24K
99204 Doctor's office visit, new patient (more involved) <1% 185 $17K
90832 Psychotherapy session, about 30 minutes <1% 49 $4K
G2077 Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code 0% 110 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialRAFFERTY, BRIAN (EXECUTIVE DIRECTOR)
Same official

Other billing entities under RAFFERTY, BRIAN

Full network →
ProviderLocationPaid
Organization for Recovery, INC.Plainfield, NJ$24K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.