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: 1407034614 · BRONX, NY 10457 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 02/11/2008

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

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

$23.48M
Total Medicaid Paid
658,052
Total Claims
67,606
Beneficiaries
24
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGATELL, VICKY (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date02/11/2008

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 $36.30M
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
2019 45,090 $1.56M
2020 148,851 $4.46M
2021 158,400 $5.05M
2022 127,109 $5.16M
2023 120,044 $5.01M
2024 58,558 $2.24M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 597,252 28,157 $17.58M
90834 Psychotherapy, 45 minutes with patient 18,852 13,028 $2.57M
90832 Psychotherapy, 30 minutes with patient 12,656 9,193 $1.33M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,980 3,682 $649K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,172 2,658 $403K
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) 4,999 1,620 $182K
H0005 Alcohol and/or drug services; group counseling by a clinician 3,249 966 $172K
H0004 Behavioral health counseling and therapy, per 15 minutes 3,446 2,828 $164K
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 4,560 1,437 $102K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 890 884 $98K
H0038 Self-help/peer services, per 15 minutes 2,651 1,842 $84K
90791 Psychiatric diagnostic evaluation 412 408 $66K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 212 204 $29K
99215 Prolong outpt/office vis 135 133 $17K
99386 113 113 $11K
99407 241 226 $9K
H0049 Alcohol and/or drug screening 96 96 $5K
H0001 Alcohol and/or drug assessment 14 13 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 60 57 $1K
99205 Prolong outpt/office vis 12 12 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 14 13 $1K
99199 Unlisted special service, procedure or report 12 12 $573.81
99406 12 12 $544.32