Clinic
Puerto Rican Organization to Motivate Enlighten and Serve Addicts, INC
Puerto Rican Organization to Motivate Enlighten and Serve Addicts, INC was paid $3.87M by Medicaid between Apr 2022 and Nov 2024, across 16 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 78% of everything it billed.
33Billing provider infoPUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS, INC
DUNKIRK, NY 14048
DUNKIRK, NY 14048
33aNPI1558028126assigned 11/18/2021
33bProvider typeMethadone Clinic
28Total paid$3.87M
24GClaims138,237
24DCodes billed16
24AFirst – last monthApr 2022 – Nov 2024
Compared with peers
Next to other Methadone Clinic providers in New York
Rank by total paid#12 of 21
Median peer was paid$4.89M
This provider vs. median0.8×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GATELL, VICKY controls 14+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2022 | 29,026 | $827K | |
| 2023 | 37,288 | $1.06M | |
| 2024incomplete | 71,923 | $1.98M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 78% | 128,033 | 6,517 | $3.01M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 7.5% | 2,938 | 2,223 | $290K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.3% | 2,284 | 1,792 | $283K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.6% | 447 | 355 | $60K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1.3% | 1,144 | 924 | $52K |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 1.2% | 1,151 | 856 | $48K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 684 | 410 | $32K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 130 | 130 | $20K |
| 90882 | <1% | 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 | <1% | 158 | 30 | $13K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 208 | 76 | $11K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 100 | 99 | $10K |
4 more codes
| 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) | <1% | 91 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 52 | $6K |
| 99385 | <1% | 55 | $6K | |
| 99407 | <1% | 33 | $2K |
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 officialGATELL, VICKY (CFO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.