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: 1508849993 · BRONX, NY 10457 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 11/21/2005

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

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

$38.03M
Total Medicaid Paid
925,677
Total Claims
102,572
Beneficiaries
20
Codes Billed
2019-03
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 Date11/21/2005

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 $64.21M
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
2019 64,556 $2.37M
2020 222,045 $7.95M
2021 208,666 $7.76M
2022 175,521 $7.80M
2023 151,322 $7.29M
2024 103,567 $4.85M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 698,056 32,238 $20.22M
90834 Psychotherapy, 45 minutes with patient 60,322 25,660 $7.29M
H0005 Alcohol and/or drug services; group counseling by a clinician 101,462 10,803 $5.23M
90832 Psychotherapy, 30 minutes with patient 32,339 14,252 $3.00M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,572 5,096 $816K
H0038 Self-help/peer services, per 15 minutes 7,458 3,986 $336K
H0004 Behavioral health counseling and therapy, per 15 minutes 7,231 3,691 $325K
90791 Psychiatric diagnostic evaluation 1,391 1,318 $245K
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) 4,076 1,203 $137K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,151 1,133 $133K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 913 855 $124K
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 3,213 939 $65K
99406 753 722 $36K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 253 252 $28K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 150 150 $22K
99386 59 59 $9K
H0001 Alcohol and/or drug assessment 28 27 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 177 152 $4K
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 52 16 $2K
90882 21 20 $2K