Lafayette Medical Approach LLC

Lafayette Medical Approach LLC was paid $21.11M by Medicaid between Jan 2019 and Dec 2024, across 14 billing codes. Its largest line is 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) — 87% of everything it billed.

Compared with peers

Next to other Methadone Clinic providers in New York

Rank by total paid#5 of 21

Median peer was paid$4.89M

This provider vs. median4.3×

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
2019	31,427	$1.06M
2020	40,260	$4.34M
2021	22,727	$4.65M
2022	19,178	$4.13M
2023	21,636	$3.95M
2024incomplete	17,202	$2.97M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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)	87%	82,605	23,557	$18.32M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	7.3%	54,907	4,932	$1.54M
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	1.8%	3,654	2,797	$389K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.6%	2,758	2,210	$341K
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%	4,909	2,178	$196K
G0397	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes	<1%	1,343	1,179	$181K
H0004	Behavioral health counseling and therapy, per 15 minutes	<1%	1,276	998	$62K
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%	186	174	$22K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	168	160	$21K
H0014	Alcohol and/or drug services; ambulatory detoxification	<1%	144	141	$19K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	359	313	$7K
99386		<1%	72	71	$6K

2 more codes

H0005	Alcohol and/or drug services; group counseling by a clinician	<1%	37	$2K
H0001	Alcohol and/or drug assessment	<1%	12	$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 officialDEGIARDE, ROBERT (EXECUTIVE DIRECTOR)