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

Northpointe Council INC

Northpointe Council INC was paid $7.50M by Medicaid between Aug 2019 and Dec 2024, across 13 billing codes. Its largest line is 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) — 44% of everything it billed.

33Billing provider infoNORTHPOINTE COUNCIL INC
NIAGRA FALLS, NY 14301
33aNPI1265665954assigned 08/27/2009
33bProvider typeMethadone Clinic
28Total paid$7.50M
24GClaims161,897
24DCodes billed13
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers

Next to other Methadone Clinic providers in New York

Rank by total paid#10 of 21
Median peer was paid$4.89M
This provider vs. median1.5×

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
20196,730$208K
202028,859$918K
202141,126$1.19M
202256,305$1.59M
202320,849$2.21M
2024incomplete8,028$1.38M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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) 44% 16,514 4,992 $3.32M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 41% 130,479 7,742 $3.08M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 9.0% 7,704 4,716 $672K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.2% 1,669 1,161 $163K
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 1.3% 2,424 985 $98K
90853 Group psychotherapy (other than of a multiple-family group) <1% 1,064 314 $46K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 306 245 $37K
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 737 649 $30K
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% 139 139 $14K
H0038 Self-help/peer services, per 15 minutes <1% 345 194 $9K
H0001 Alcohol and/or drug assessment <1% 104 68 $9K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 386 296 $8K
1 more codes
90791 Psychiatric diagnostic evaluation <1% 26 $4K

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 officialSHUBADA, DANIEL (PRESIDENT)