Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS, INC

NPI: 1295911063 · BRONX, NY 10457 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 01/11/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GATELL, VICKY controls 14+ related entities in our dataset. Read more

$36.30M
Total Medicaid Paid
622,524
Total Claims
117,893
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGATELL, VICKY (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date01/11/2008

Related Entities

Other providers sharing the same authorized official: GATELL, VICKY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 40,068 $2.63M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90832 Psychotherapy, 30 minutes with patient 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) 377,912 15,526 $9.77M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35,667 15,667 $3.67M
90834 Psychotherapy, 45 minutes with patient 24,805 11,181 $3.01M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20,156 9,472 $2.33M
T1016 Case management, each 15 minutes 11,048 5,430 $1.41M
H0005 Alcohol and/or drug services; group counseling by a clinician 11,938 3,182 $621K
H0038 Self-help/peer services, per 15 minutes 5,407 2,103 $621K
90791 Psychiatric diagnostic evaluation 4,703 1,997 $507K
90792 Psychiatric diagnostic evaluation with medical services 4,153 1,779 $446K
90853 Group psychotherapy (other than of a multiple-family group) 2,306 694 $271K
H2017 Psychosocial rehabilitation services, per 15 minutes 2,050 775 $254K
H0004 Behavioral health counseling and therapy, per 15 minutes 4,703 3,874 $220K
H2018 Psychosocial rehabilitation services, per diem 232 115 $171K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,188 809 $132K
T1040 Medicaid certified community behavioral health clinic services, per diem 2,629 1,494 $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) 2,992 978 $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 3,741 933 $83K
H2010 Comprehensive medication services, per 15 minutes 437 204 $52K
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 415 141 $47K
99402 254 118 $28K
99403 195 87 $20K
H0031 Mental health assessment, by non-physician 138 70 $19K
90837 Psychotherapy, 53 minutes with patient 127 54 $16K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 34 34 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 24 24 $3K
99407 67 67 $3K
90882 19 15 $370.13