Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

RESTORATIVE MANAGEMENT CORP

NPI: 1043385578 · MIDDLETOWN, NY 10940 · Substance Abuse Rehabilitation Facility · NPI assigned 11/21/2006

$18.47M
Total Medicaid Paid
232,597
Total Claims
57,510
Beneficiaries
10
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCHARF, DAVID (CFO)
NPI Enumeration Date11/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 11,270 $885K
2020 47,601 $3.47M
2021 50,030 $3.68M
2022 49,735 $3.92M
2023 46,695 $4.03M
2024 27,266 $2.49M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 63,708 20,824 $7.27M
H0005 Alcohol and/or drug services; group counseling by a clinician 119,039 16,248 $6.98M
S9480 Intensive outpatient psychiatric services, per diem 8,276 1,105 $918K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 4,716 4,693 $900K
H0038 Self-help/peer services, per 15 minutes 17,182 4,427 $766K
H0004 Behavioral health counseling and therapy, per 15 minutes 13,268 6,506 $674K
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 2,893 890 $439K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,005 1,558 $295K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,476 1,226 $219K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 34 33 $5K