Behavioral
ST Lawrence County
ST Lawrence County was paid $7.86M by Medicaid between Jan 2019 and Dec 2024, across 34 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 17% of everything it billed.
33Billing provider infoST LAWRENCE COUNTY
CANTON, NY 13617
CANTON, NY 13617
33aNPI1699898635assigned 04/06/2007
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$7.86M
24GClaims135,085
24DCodes billed34
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in New York
Rank by total paid#15 of 99
Median peer was paid$168K
This provider vs. median47×
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 | 3,783 | $365K | |
| 2020 | 15,779 | $1.33M | |
| 2021 | 15,978 | $1.32M | |
| 2022 | 16,671 | $1.35M | |
| 2023 | 47,924 | $2.13M | |
| 2024incomplete | 34,950 | $1.36M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 17% | 8,607 | 6,169 | $1.32M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 12% | 8,618 | 6,326 | $930K |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 8.1% | 35,446 | 1,494 | $636K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7.7% | 5,272 | 4,391 | $605K |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 6.9% | 12,795 | 6,032 | $545K |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 6.7% | 21,472 | 1,364 | $527K |
| H0001 | Alcohol and/or drug assessment | 6.2% | 3,577 | 3,076 | $489K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.1% | 4,099 | 3,538 | $479K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 5.6% | 4,457 | 2,930 | $443K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 4.1% | 6,523 | 2,392 | $321K |
| G0397 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes | 3.5% | 2,121 | 1,493 | $278K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.4% | 1,619 | 1,202 | $268K |
22 more codes
| H0033 | Oral medication administration, direct observation | 2.6% | 7,532 | $204K |
| 90791 | Psychiatric diagnostic evaluation | 2.2% | 817 | $172K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 2.1% | 2,346 | $168K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2.1% | 3,213 | $163K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 720 | $101K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 1,676 | $69K |
| G2068 | Medication assisted treatment, buprenorphine (oral); 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% | 1,122 | $29K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 199 | $24K |
| J0575 | Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine | <1% | 1,052 | $23K |
| 90836 | <1% | 231 | $18K | |
| 99401 | <1% | 312 | $13K | |
| G2079 | Take-home supply of buprenorphine (oral); 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% | 385 | $12K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 46 | $12K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 403 | $5K |
| 99402 | <1% | 76 | $5K | |
| 99409 | <1% | 80 | $3K | |
| 99406 | <1% | 54 | $3K | |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 21 | $839.16 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 32 | $608.80 |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 15 | $605.41 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 135 | $7.58 |
| 93000 | 0% | 12 | $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 officialULRICH, JAY (DIRECTOR)
Parent organizationST LAWRENCE COUNTY