Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BRONX › PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS INC

PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS INC

NPI: 1407830946 · BRONX, NY 10457 · Federally Qualified Health Center (FQHC) · NPI assigned 11/29/2005

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

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

$64.21M
Total Medicaid Paid
1,748,781
Total Claims
288,401
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGATELL, VICKY (CHIEF FINANCIAL OFFICER)
Parent OrganizationPUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS INC
NPI Enumeration Date11/29/2005

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 $38.03M
PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS, INC BRONX NY $36.30M
PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS, INC BRONX NY $23.48M
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
2018 27,493 $1.16M
2019 116,602 $4.80M
2020 356,672 $12.39M
2021 385,469 $13.56M
2022 356,093 $13.61M
2023 329,722 $12.86M
2024 176,730 $5.83M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 1,418,926 63,400 $38.78M
90834 Psychotherapy, 45 minutes with patient 49,838 29,680 $6.72M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 85,450 65,287 $6.27M
90832 Psychotherapy, 30 minutes with patient 41,705 26,739 $4.29M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 27,292 21,285 $2.55M
H0005 Alcohol and/or drug services; group counseling by a clinician 35,609 8,754 $1.96M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,856 8,587 $863K
90791 Psychiatric diagnostic evaluation 2,674 2,586 $452K
H0038 Self-help/peer services, per 15 minutes 8,682 5,284 $362K
H0004 Behavioral health counseling and therapy, per 15 minutes 7,512 6,282 $359K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,740 2,608 $297K
99442 4,341 3,206 $172K
99407 3,651 3,361 $166K
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) 4,025 1,254 $152K
90792 Psychiatric diagnostic evaluation with medical services 783 772 $143K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,307 1,242 $135K
99385 533 530 $62K
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 3,652 1,089 $60K
99386 475 473 $59K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,315 2,038 $49K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 416 382 $43K
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 853 772 $41K
96127 17,473 15,803 $38K
H0049 Alcohol and/or drug screening 784 778 $37K
99441 821 716 $23K
90882 502 422 $16K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,875 1,810 $15K
99051 1,337 1,282 $13K
98968 93 77 $10K
0012A 281 279 $9K
90686 654 651 $9K
36415 Collection of venous blood by venipuncture 5,649 5,564 $8K
0011A 359 351 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 43 43 $5K
0064A 121 121 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 88 66 $4K
99215 Prolong outpt/office vis 28 28 $3K
90837 Psychotherapy, 53 minutes with patient 34 31 $3K
92551 40 39 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 24 24 $2K
99205 Prolong outpt/office vis 13 13 $2K
99173 31 31 $2K
H0001 Alcohol and/or drug assessment 12 12 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 45 45 $1K
90682 54 54 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 128 125 $1K
90472 Immunization administration, each additional vaccine (list separately) 94 92 $1K
99484 58 57 $1K
92015 Determination of refractive state 128 121 $1K
90688 61 60 $1K
90656 84 84 $866.78
0031A 26 26 $554.01
90674 19 19 $433.74
90715 26 26 $146.83
90658 13 13 $145.54
99490 Ccm add 20min 12 12 $99.89
3079F 482 469 $10.00
3008F 1,703 1,555 $4.50
3078F 608 588 $0.00
3077F 521 502 $0.00
3074F 474 461 $0.00
3080F 101 95 $0.00
1220F 15 15 $0.00
3075F 103 102 $0.00
3044F 129 128 $0.00