PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS INC

$64.21M

Total Medicaid Paid

1,748,781

Total Claims

288,401

Beneficiaries

65

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
H0020	Alcohol and/or drug services	1,418,926	63,400	$38.78M
90834		49,838	29,680	$6.72M
99213		85,450	65,287	$6.27M
90832		41,705	26,739	$4.29M
99212		27,292	21,285	$2.55M
H0005	Alcohol and/or drug services	35,609	8,754	$1.96M
99214		10,856	8,587	$863K
90791		2,674	2,586	$452K
H0038	Self-help/peer svc per 15min	8,682	5,284	$362K
H0004	Alcohol and/or drug services	7,512	6,282	$359K
99396		2,740	2,608	$297K
99442		4,341	3,206	$172K
99407		3,651	3,361	$166K
G2067	Med assist tx meth wk	4,025	1,254	$152K
90792		783	772	$143K
99395		1,307	1,242	$135K
99385		533	530	$62K
G2078	Take-home meth	3,652	1,089	$60K
99386		475	473	$59K
99211		2,315	2,038	$49K
99204		416	382	$43K
H0050	Alcohol/drug service 15 min	853	772	$41K
96127		17,473	15,803	$38K
H0049	Alcohol/drug screening	784	778	$37K
99441		821	716	$23K
90882		502	422	$16K
90471		1,875	1,810	$15K
99051		1,337	1,282	$13K
98968		93	77	$10K
0012A		281	279	$9K
90686		654	651	$9K
36415		5,649	5,564	$8K
0011A		359	351	$8K
99203		43	43	$5K
0064A		121	121	$4K
99393		88	66	$4K
99215	Prolong outpt/office vis	28	28	$3K
90837		34	31	$3K
92551		40	39	$3K
99394		24	24	$2K
99205	Prolong outpt/office vis	13	13	$2K
99173		31	31	$2K
H0001	Alcohol and/or drug assess	12	12	$2K
92014		45	45	$1K
90682		54	54	$1K
90460		128	125	$1K
90472		94	92	$1K
99484		58	57	$1K
92015		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

Medicaid Provider Spending