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

Council on Addiction Recovery Services, INC.

Council on Addiction Recovery Services, INC. was paid $2.66M by Medicaid between Jan 2018 and Mar 2022, across 18 billing codes. Its largest line is G0397, Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes — 34% of everything it billed.

33Billing provider infoCOUNCIL ON ADDICTION RECOVERY SERVICES, INC.
OLEAN, NY 14760
33aNPI1144395054assigned 11/24/2006
28Total paid$2.66M
24GClaims34,082
24DCodes billed18
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers

Next to other Community/Behavioral Health Agency providers in New York

Rank by total paid#92 of 235
Median peer was paid$1.02M
This provider vs. median2.6×

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$50K$100K$150K2018201920202021202220232024
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
2018336$24K
20194,184$346K
202011,079$916K
202115,128$1.11M
20223,355$264K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 34% 7,287 4,188 $905K
H0005 Alcohol and/or drug services; group counseling by a clinician 24% 13,162 2,565 $636K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 11% 3,025 1,994 $282K
H0001 Alcohol and/or drug assessment 8.4% 1,653 1,221 $224K
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 7.7% 1,849 1,366 $204K
H0038 Self-help/peer services, per 15 minutes 5.9% 3,993 1,718 $157K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.4% 866 665 $91K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 1.8% 310 257 $48K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 1.3% 279 159 $35K
99401 1.3% 898 682 $34K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 137 137 $13K
99205 Prolong outpt/office vis <1% 101 101 $11K
6 more codes
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 165 $9K
99203 Doctor's office visit, new patient (routine) <1% 33 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 227 $3K
90846 Family psychotherapy without the patient present, 50 minutes <1% 27 $3K
H0049 Alcohol and/or drug screening <1% 40 $2K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter <1% 30 $1K

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 officialPRUTSMAN, MICHAEL (EXECUTIVE DIRECTOR)