Clinic
Lexington Center for Recovery, INC.
Lexington Center for Recovery, INC. was paid $66.37M by Medicaid between Jan 2018 and Nov 2024, across 29 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) — 41% of everything it billed.
33Billing provider infoLEXINGTON CENTER FOR RECOVERY, INC.
PEEKSKILL, NY 10566
PEEKSKILL, NY 10566
33aNPI1487709671assigned 01/25/2007
33bProvider typeMethadone Clinic
28Total paid$66.37M
24GClaims771,032
24DCodes billed29
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Methadone Clinic providers in New York
Rank by total paid#3 of 21
Median peer was paid$4.89M
This provider vs. median14×
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 | 624 | $22K | |
| 2019 | 59,397 | $2.72M | |
| 2020 | 138,814 | $9.47M | |
| 2021 | 174,027 | $10.68M | |
| 2022 | 148,152 | $14.10M | |
| 2023 | 155,906 | $16.97M | |
| 2024incomplete | 94,112 | $12.41M |
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) | 41% | 120,370 | 41,771 | $27.44M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 15% | 352,260 | 39,124 | $10.04M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 10% | 60,915 | 33,726 | $6.68M |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 7.6% | 45,796 | 20,666 | $5.04M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 6.0% | 69,677 | 17,155 | $4.00M |
| H2036 | Alcohol and/or other drug treatment program, per diem | 6.0% | 30,536 | 2,962 | $3.98M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 13,668 | 11,176 | $1.77M |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2.3% | 26,889 | 9,205 | $1.55M |
| H0001 | Alcohol and/or drug assessment | 1.4% | 5,518 | 5,067 | $916K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.2% | 5,659 | 4,890 | $788K |
| G0397 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes | <1% | 3,804 | 2,646 | $577K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,820 | 3,270 | $526K |
17 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 3,466 | $525K |
| H2001 | Rehabilitation program, per 1/2 day | <1% | 4,699 | $461K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 3,021 | $449K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 2,405 | $443K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 11,884 | $424K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,342 | $254K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 936 | $124K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 914 | $114K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 558 | $74K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 496 | $67K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 864 | $40K |
| 90836 | <1% | 369 | $35K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 244 | $15K |
| 99205 | Prolong outpt/office vis | <1% | 57 | $8K |
| 36415 | Collection of venous blood by venipuncture | <1% | 783 | $7K |
| 99385 | <1% | 14 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 68 | $890.15 |
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 officialTISNE, SUZANNE (ASSOCIATE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Lexington Center for Recovery, INC. | Poughkeepsie, NY | $823K |
| Lexington Center for Recovery, INC. | Valley Cottage, NY | $209K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.