Clinic
Khaleidoscope Health Care INC.
Khaleidoscope Health Care INC. was paid $11.20M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is H0015, Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education — 42% of everything it billed.
33Billing provider infoKHALEIDOSCOPE HEALTH CARE INC.
JERSEY CITY, NJ 07304
JERSEY CITY, NJ 07304
33aNPI1306969787assigned 04/09/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$11.20M
24GClaims158,681
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New Jersey
Rank by total paid#1 of 130
Median peer was paid$86K
This provider vs. median131×
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 | 40,588 | $2.05M | |
| 2019 | 35,920 | $2.00M | |
| 2020 | 25,078 | $1.80M | |
| 2021 | 20,430 | $1.65M | |
| 2022 | 17,122 | $1.43M | |
| 2023 | 11,463 | $1.23M | |
| 2024incomplete | 8,080 | $1.04M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 42% | 41,904 | 4,353 | $4.71M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 30% | 37,455 | 9,377 | $3.38M |
| 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) | 10% | 9,103 | 2,457 | $1.14M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.8% | 7,276 | 2,780 | $654K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2.7% | 10,875 | 1,975 | $299K |
| G0434 | Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter | 1.9% | 13,454 | 7,603 | $213K |
| A0090 | Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest | 1.7% | 21,494 | 1,283 | $193K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 1,898 | 1,678 | $145K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,018 | 1,815 | $95K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 237 | 235 | $81K |
| 80305 | <1% | 7,300 | 3,628 | $73K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 824 | 548 | $57K |
13 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,602 | $44K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 254 | $41K |
| 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% | 711 | $34K |
| G2076 | Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code | <1% | 68 | $21K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 253 | $10K |
| 93000 | <1% | 224 | $4K | |
| 94060 | <1% | 43 | $2K | |
| 86580 | <1% | 314 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 24 | $1K |
| G0397 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes | <1% | 17 | $502.86 |
| 36415 | Collection of venous blood by venipuncture | <1% | 274 | $422.55 |
| 82075 | <1% | 27 | $237.60 | |
| G0473 | Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes | <1% | 32 | $176.64 |
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 officialBLAKE, LARRY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Khaleidoscope Health Care INC. | Jersey City, NJ | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.