Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Advantage Care Diagnostic and Treatment Center ,INC

Advantage Care Diagnostic and Treatment Center ,INC was paid $16.61M by Medicaid between Jun 2018 and Dec 2024, across 55 billing codes. Its largest line is G0467, community health center visit, returning patient — 28% of everything it billed.

33Billing provider infoADVANTAGE CARE DIAGNOSTIC AND TREATMENT CENTER ,INC
BROOKVILLE, NY 11545
33aNPI1073689600assigned 11/27/2006
28Total paid$16.61M
24GClaims179,044
24DCodes billed55
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers

Next to other Public Health or Welfare Agency providers in New York

Rank by total paid#1 of 41
Median peer was paid$114K
This provider vs. median146×

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$200K$400K2018201920202021202220232024
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
2018144$12K
20199,714$732K
202027,774$2.70M
202132,501$3.18M
202238,432$3.44M
202341,430$3.58M
2024incomplete29,049$2.97M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0467 Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 28% 40,433 21,895 $4.58M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 31,887 24,034 $3.06M
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 17% 24,062 19,674 $2.77M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 10% 19,656 5,201 $1.70M
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 7.6% 12,884 6,717 $1.26M
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit 4.4% 3,698 1,117 $729K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 2.1% 3,439 849 $347K
D4910 2.1% 5,081 1,966 $347K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 2.0% 4,928 2,200 $327K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2.0% 5,418 1,444 $326K
D0999 Unspecified diagnostic procedure, by report 1.4% 1,006 955 $235K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.2% 4,707 3,572 $193K
43 more codes
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 2,319 $162K
D4341 <1% 1,206 $144K
D1110 Prophylaxis - adult <1% 1,924 $117K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan <1% 3,993 $101K
99215 Doctor's office visit, returning patient (complex) <1% 464 $66K
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv <1% 144 $36K
D0140 Limited oral evaluation - problem focused <1% 300 $28K
D0210 Intraoral - complete series of radiographic images <1% 342 $24K
90791 Psychiatric diagnostic evaluation <1% 68 $12K
D0150 Comprehensive oral evaluation - new or established patient <1% 220 $9K
D9997 <1% 167 $8K
D1999 <1% 26 $6K
99334 <1% 772 $6K
11721 <1% 1,884 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent <1% 18 $3K
99203 Doctor's office visit, new patient (routine) <1% 20 $3K
D0220 Intraoral - periapical first radiographic image <1% 262 $2K
96127 <1% 232 $934.32
0011A <1% 160 $779.70
11720 <1% 924 $768.00
D0274 Bitewings - four radiographic images <1% 42 $722.88
0012A <1% 119 $633.86
0064A <1% 18 $630.88
D0230 Intraoral - periapical each additional radiographic image <1% 94 $377.40
93000 <1% 144 $360.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 96 $246.76
90686 <1% 599 $96.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 983 $94.25
G0008 Administration of influenza virus vaccine <1% 129 $13.23
1170F 0% 393 $0.00
1000F 0% 544 $0.00
90674 0% 457 $0.00
3074F 0% 122 $0.00
1126F 0% 215 $0.00
1111F 0% 12 $0.00
99397 0% 95 $0.00
1159F 0% 544 $0.00
3288F 0% 544 $0.00
1160F 0% 544 $0.00
99347 0% 78 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 0% 46 $0.00
3725F 0% 570 $0.00
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 0% 12 $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 officialMOISE, RACHELE (CLINIC BILLING MANAGER)