Clinic
Puerto Rican Organization to Motivate Enlighten and Serve Addicts, INC
Puerto Rican Organization to Motivate Enlighten and Serve Addicts, INC was paid $36.30M by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 90832, psychotherapy session, about 30 minutes — 34% of everything it billed.
33Billing provider infoPUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS, INC
BRONX, NY 10457
BRONX, NY 10457
33aNPI1295911063assigned 01/11/2008
28Total paid$36.30M
24GClaims622,524
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in New York
Rank by total paid#5 of 112
Median peer was paid$1.84M
This provider vs. median20×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GATELL, VICKY controls 14+ related entities in our dataset. Read more
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 | 42,609 | $5.09M | |
| 2019 | 78,139 | $5.09M | |
| 2020 | 100,039 | $5.08M | |
| 2021 | 122,325 | $6.15M | |
| 2022 | 125,247 | $6.17M | |
| 2023 | 114,097 | $6.08M | |
| 2024incomplete | 40,068 | $2.63M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 34% | 105,184 | 41,070 | $12.39M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 27% | 377,912 | 15,526 | $9.77M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 35,667 | 15,667 | $3.67M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 8.3% | 24,805 | 11,181 | $3.01M |
| 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 | 6.4% | 20,156 | 9,472 | $2.33M |
| T1016 | Case management, each 15 minutes | 3.9% | 11,048 | 5,430 | $1.41M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 1.7% | 11,938 | 3,182 | $621K |
| H0038 | Self-help/peer services, per 15 minutes | 1.7% | 5,407 | 2,103 | $621K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.4% | 4,703 | 1,997 | $507K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.2% | 4,153 | 1,779 | $446K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 2,306 | 694 | $271K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | <1% | 2,050 | 775 | $254K |
16 more codes
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 4,703 | $220K |
| H2018 | Psychosocial rehabilitation services, per diem | <1% | 232 | $171K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,188 | $132K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 2,629 | $114K |
| 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) | <1% | 2,992 | $84K |
| 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% | 3,741 | $83K |
| H2010 | Comprehensive medication services, per 15 minutes | <1% | 437 | $52K |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | <1% | 415 | $47K |
| 99402 | <1% | 254 | $28K | |
| 99403 | <1% | 195 | $20K | |
| H0031 | Mental health assessment, by non-physician | <1% | 138 | $19K |
| 90837 | Psychotherapy session, about an hour | <1% | 127 | $16K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 34 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 24 | $3K |
| 99407 | <1% | 67 | $3K | |
| 90882 | <1% | 19 | $370.13 |
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 officialGATELL, VICKY (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Puerto Rican Organization to Motivate Enlighten and Serve Addicts INC | Bronx, NY | $64.21M |
| Puerto Rican Organization to Motivate Enlighten and Serve Addicts INC | Bronx, NY | $38.03M |
| Puerto Rican Organization to Motivate Enlighten and Serve Addicts, INC | Bronx, NY | $23.48M |
| Bronx Addiction Services Integrated Concepts System INC | Bronx, NY | $19.91M |
| LA Casa De Salud INC. | Bronx, NY | $8.58M |
| Greenhope Services for Women, INC. | New York, NY | $5.52M |
| LA Casa De Salud, INC | Bronx, NY | $5.24M |
| LA Casa De Salud, INC | Bronx, NY | $4.49M |
| Puerto Rican Organization to Motivate Enlighten and Serve Addicts, INC | Dunkirk, NY | $3.87M |
| Community Association of Progressive Dominicans, INC | New York, NY | $3.66M |
| El Regreso, INC. | Brooklyn, NY | $3.34M |
| Queens Village Committee for Mental Health for J-Cap, INC | Jamaica, NY | $816K |
| Puerto Rican Organization to Motivate, Enlighten and Serve Addicts, in | Bronx, NY | $255K |
| Puerto Rican Organization to Motivate Enlighten and Serve Addicts INC | New York, NY | $81K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.