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: 1558028126 · DUNKIRK, NY 14048 · Methadone Clinic · NPI assigned 11/18/2021

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

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

$3.87M
Total Medicaid Paid
138,237
Total Claims
14,176
Beneficiaries
16
Codes Billed
2022-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGATELL, VICKY (CFO)
NPI Enumeration Date11/18/2021

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 $38.03M
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
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
2022 29,026 $827K
2023 37,288 $1.06M
2024 71,923 $1.98M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 128,033 6,517 $3.01M
90832 Psychotherapy, 30 minutes with patient 2,938 2,223 $290K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,284 1,792 $283K
90834 Psychotherapy, 45 minutes with patient 447 355 $60K
H0004 Behavioral health counseling and therapy, per 15 minutes 1,144 924 $52K
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 1,151 856 $48K
H0038 Self-help/peer services, per 15 minutes 684 410 $32K
90791 Psychiatric diagnostic evaluation 130 130 $20K
90882 729 604 $16K
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 158 30 $13K
H0005 Alcohol and/or drug services; group counseling by a clinician 208 76 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 100 99 $10K
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) 91 27 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 52 47 $6K
99385 55 53 $6K
99407 33 33 $2K