West Midtown Management Group INC

West Midtown Management Group INC was paid $35.08M by Medicaid between Jan 2019 and Dec 2024, across 23 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) — 57% of everything it billed.

Compared with peers

Next to other Multi-Specialty Clinic/Center providers in New York

Rank by total paid#4 of 118

Median peer was paid$372K

This provider vs. median94×

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
2019	61,840	$2.37M
2020	130,796	$7.66M
2021	106,190	$6.08M
2022	56,798	$7.23M
2023	47,812	$6.62M
2024incomplete	33,691	$5.12M

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)	57%	89,482	26,887	$19.99M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	24%	276,408	25,652	$8.42M
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	7.6%	25,673	15,732	$2.65M
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.2%	11,705	8,004	$1.49M
H0004	Behavioral health counseling and therapy, per 15 minutes	2.2%	16,953	9,897	$784K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.0%	5,930	4,524	$707K
G0397	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes	1.2%	3,018	2,689	$419K
H0005	Alcohol and/or drug services; group counseling by a clinician	<1%	2,788	611	$163K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	1,190	1,183	$147K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	<1%	689	686	$119K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	894	199	$50K
H0033	Oral medication administration, direct observation	<1%	1,087	126	$30K

11 more codes

99386		<1%	235	$26K
90832	Psychotherapy session, about 30 minutes	<1%	181	$20K
99214	Doctor's office visit, returning patient (more involved)	<1%	133	$17K
J0592	Injection, buprenorphine hydrochloride, 0.1 mg	<1%	189	$16K
H0014	Alcohol and/or drug services; ambulatory detoxification	<1%	96	$13K
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%	286	$12K
99442		<1%	83	$7K
99385		<1%	44	$5K
90834	Psychotherapy session, about 45 minutes	<1%	18	$3K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	12	$811.53
99199	Unlisted special service, procedure or report	0%	33	$0.00

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 officialFERNANDEZ, ARMANDO (DIRECTOR OF MIS)