Residential
Restorative Management Corp
Restorative Management Corp was paid $18.47M by Medicaid between Jan 2019 and Dec 2024, across 10 billing codes. Its largest line is G0396, Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes — 39% of everything it billed.
33Billing provider infoRESTORATIVE MANAGEMENT CORP
MIDDLETOWN, NY 10940
MIDDLETOWN, NY 10940
33aNPI1043385578assigned 11/21/2006
33bProvider typeSubstance Abuse Rehabilitation Facility
28Total paid$18.47M
24GClaims232,597
24DCodes billed10
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Substance Abuse Rehabilitation Facility providers in New York
Rank by total paid#8 of 61
Median peer was paid$2.37M
This provider vs. median7.8×
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
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
| Year | Claims | 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 | |
| 2024incomplete | 27,266 | $2.49M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 39% | 63,708 | 20,824 | $7.27M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 38% | 119,039 | 16,248 | $6.98M |
| S9480 | Intensive outpatient psychiatric services, per diem | 5.0% | 8,276 | 1,105 | $918K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 4.9% | 4,716 | 4,693 | $900K |
| H0038 | Self-help/peer services, per 15 minutes | 4.1% | 17,182 | 4,427 | $766K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 3.6% | 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 | 2.4% | 2,893 | 890 | $439K |
| 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 | 1.6% | 2,005 | 1,558 | $295K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 1,476 | 1,226 | $219K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 34 | 33 | $5K |
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 officialSCHARF, DAVID (CFO)