Fusion Recovery Centers

Fusion Recovery Centers was paid $1.25M by Medicaid between Jul 2023 and Dec 2024, across 23 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) — 58% of everything it billed.

Compared with peers

Next to other Clinic/Center providers in New York

Rank by total paid#97 of 235

Median peer was paid$630K

This provider vs. median2.0×

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
2023	703	$45K
2024incomplete	14,318	$1.20M

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)	58%	3,756	1,454	$729K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	13%	6,371	759	$166K
90853	Group psychotherapy (other than of a multiple-family group)	8.7%	2,046	505	$109K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	3.3%	392	293	$41K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.4%	300	166	$30K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.7%	193	128	$21K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	1.6%	117	117	$20K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	1.4%	141	96	$18K
G0397	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes	1.4%	127	94	$18K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	1.3%	159	120	$16K
H0004	Behavioral health counseling and therapy, per 15 minutes	1.3%	337	247	$16K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	1.3%	117	114	$16K

11 more codes

99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	1.0%	121	$13K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	127	$11K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	364	$6K
93040		<1%	108	$4K
H0038	Self-help/peer services, per 15 minutes	<1%	96	$4K
99385		<1%	44	$3K
99203	Doctor's office visit, new patient (routine)	<1%	16	$2K
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%	39	$2K
99386		<1%	17	$1K
36410		<1%	21	$1K
99407		<1%	12	$529.63

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 officialGARBER, YOEL (CFO)