Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral Enhancement & Substance Abuse Medicine Treatment PLLC

Behavioral Enhancement & Substance Abuse Medicine Treatment PLLC was paid $54.49M by Medicaid between Jan 2019 and Dec 2024, across 13 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 75% of everything it billed.

33Billing provider infoBEHAVIORAL ENHANCEMENT & SUBSTANCE ABUSE MEDICINE TREATMENT PLLC
DEER PARK, NY 11729
33aNPI1346680071assigned 06/26/2013
28Total paid$54.49M
24GClaims375,272
24DCodes billed13
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in New York

Rank by total paid#9 of 235
Median peer was paid$1.02M
This provider vs. median53×

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$500K$1.0M$1.5M2018201920202021202220232024
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
201919,121$2.04M
202065,455$8.79M
202177,714$11.08M
202278,226$11.67M
202379,312$12.35M
2024incomplete55,444$8.55M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 75% 266,635 42,941 $40.81M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 17% 64,726 27,283 $9.31M
H0038 Self-help/peer services, per 15 minutes 2.8% 13,024 4,482 $1.54M
H0005 Alcohol and/or drug services; group counseling by a clinician 1.9% 18,622 4,814 $1.04M
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 1.5% 4,221 4,193 $802K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 2,406 2,373 $340K
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% 1,954 1,216 $240K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 1,259 768 $153K
T1006 Alcohol and/or substance abuse services, family/couple counseling <1% 828 413 $102K
90882 <1% 904 546 $68K
90846 Family psychotherapy without the patient present, 50 minutes <1% 341 228 $42K
H0001 Alcohol and/or drug assessment <1% 183 176 $31K
1 more codes
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 169 $2K

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 officialPETRY, DEBORAH (PROGRAM SUPERVISOR)