Clinic
Innovative Health Systems, INC.
Innovative Health Systems, INC. was paid $3.72M by Medicaid between Jan 2018 and Nov 2024, across 19 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 — 17% of everything it billed.
33Billing provider infoINNOVATIVE HEALTH SYSTEMS, INC.
WHITE PLAINS, NY 10603
WHITE PLAINS, NY 10603
33aNPI1275610545assigned 11/01/2006
33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center
28Total paid$3.72M
24GClaims32,194
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in New York
Rank by total paid#24 of 64
Median peer was paid$2.18M
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2018 | 66 | $8K | |
| 2019 | 2,500 | $237K | |
| 2020 | 9,158 | $1.04M | |
| 2021 | 6,482 | $739K | |
| 2022 | 5,481 | $655K | |
| 2023 | 6,173 | $743K | |
| 2024incomplete | 2,334 | $297K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0397 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes | 17% | 4,194 | 1,461 | $638K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 16% | 5,460 | 1,648 | $600K |
| H2036 | Alcohol and/or other drug treatment program, per diem | 11% | 3,465 | 632 | $424K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 11% | 2,775 | 1,171 | $412K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 10% | 3,372 | 1,404 | $373K |
| H2001 | Rehabilitation program, per 1/2 day | 7.6% | 2,992 | 831 | $284K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.0% | 1,951 | 1,418 | $259K |
| H0001 | Alcohol and/or drug assessment | 5.5% | 1,220 | 889 | $203K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 4.6% | 2,924 | 938 | $172K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 3.7% | 2,377 | 753 | $139K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.4% | 560 | 285 | $90K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 474 | 287 | $61K |
7 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 204 | $32K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 70 | $13K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 68 | $13K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 24 | $4K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 32 | $2K |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | <1% | 13 | $726.26 |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 19 | $702.56 |
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 officialFISHMAN, ROSS (DIRECTOR)