5034 ATLANTIC AVENUE OPCO, LLC

NPI: 1528433356 · MAYS LANDING, NJ 08330 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 12/04/2015

$1.00M

Total Medicaid Paid

10,368

Total Claims

2,639

Beneficiaries

Codes Billed

2018-01

First Month

2024-06

Last Month

Provider Details

Authorized Official	CRUZ, SERGIO (CFO)
NPI Enumeration Date	12/04/2015

Other providers sharing the same authorized official: CRUZ, SERGIO

Provider	City	State	Total Paid
CENTER FOR COMPREHENSIVE SERVICES, INC	PADUCAH	KY	$47.71M
75 LINDALL STREET OPCO LLC	DANVERS	MA	$7.28M
8530 TOWNSHIP LINE ROAD OPCO LLC	INDIANAPOLIS	IN	$2.25M
9 VILLAGE INN ROAD OPCO LLC	WESTMINSTER	MA	$1.26M
MENTOR ABI	FAIRVIEW	PA	$301K
CENTER FOR COMPREHENSIVE SERVICES, INC.	LAS VEGAS	NV	$190K
MENTOR ABI, LLC	LAWRENCE	KS	$161K
235 W LANCASTER AVENUE OPCO, LLC	MONROEVILLE	PA	$65K
CENTER FOR COMPREHENSIVE SERVICES, INC.	FLORENCE	KY	$37K

Code	Description	Claims	Beneficiaries	Total Paid
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education	7,364	1,403	$813K
90791	Psychiatric diagnostic evaluation	640	631	$105K
90853	Group psychotherapy (other than of a multiple-family group)	1,990	463	$56K
H2036	Alcohol and/or other drug treatment program, per diem	247	38	$19K
90832	Psychotherapy, 30 minutes with patient	127	104	$10K