Behavioral
Equinox INC
Equinox INC was paid $19.06M by Medicaid between Dec 2018 and Nov 2024, across 18 billing codes. Its largest line is H2018, Psychosocial rehabilitation services, per diem — 69% of everything it billed.
33Billing provider infoEQUINOX INC
ALBANY, NY 12206
ALBANY, NY 12206
33aNPI1477695021assigned 02/12/2007
33bProvider typeCounselor
28Total paid$19.06M
24GClaims43,344
24DCodes billed18
24AFirst – last monthDec 2018 – Nov 2024
Compared with peers
Next to other Counselor providers in New York
Rank by total paid#3 of 47
Median peer was paid$97K
This provider vs. median197×
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 | |
|---|---|---|---|
| 2018 | 69 | $169K | |
| 2019 | 5,810 | $2.50M | |
| 2020 | 10,170 | $3.05M | |
| 2021 | 9,113 | $3.33M | |
| 2022 | 9,017 | $4.38M | |
| 2023 | 6,770 | $4.28M | |
| 2024incomplete | 2,395 | $1.35M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2018 | Psychosocial rehabilitation services, per diem | 69% | 4,294 | 4,234 | $13.09M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 13% | 3,599 | 3,562 | $2.41M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.4% | 9,602 | 5,748 | $844K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.2% | 8,156 | 4,054 | $794K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 3.6% | 2,306 | 2,290 | $681K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 4,556 | 4,226 | $372K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 1.3% | 2,625 | 1,365 | $248K |
| G0397 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes | 1.3% | 1,917 | 1,021 | $245K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 3,683 | 1,069 | $178K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 776 | 735 | $76K |
| H0001 | Alcohol and/or drug assessment | <1% | 425 | 337 | $58K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 507 | 362 | $21K |
6 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 107 | $11K |
| 90837 | Psychotherapy session, about an hour | <1% | 92 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 510 | $7K |
| H2010 | Comprehensive medication services, per 15 minutes | <1% | 92 | $5K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 79 | $4K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 18 | $3K |
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 officialJOSLIN, ANDY (CFO)