Clinic
State of the Heart Recovery
State of the Heart Recovery was paid $4.45M by Medicaid between Jan 2021 and Dec 2024, across 24 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) — 73% of everything it billed.
33Billing provider infoSTATE OF THE HEART RECOVERY
ALBUQUERQUE, NM 87108
ALBUQUERQUE, NM 87108
33aNPI1700407277assigned 05/06/2020
33bProvider typeMethadone Clinic
28Total paid$4.45M
24GClaims186,833
24DCodes billed24
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Methadone Clinic providers in New Mexico
Rank by total paid#5 of 7
Median peer was paid$6.43M
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2021 | 24,176 | $503K | |
| 2022 | 32,585 | $808K | |
| 2023 | 43,520 | $1.10M | |
| 2024incomplete | 86,552 | $2.04M |
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) | 73% | 159,171 | 10,317 | $3.26M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 8.4% | 15,752 | 8,147 | $374K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.7% | 2,119 | 1,637 | $343K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 3.0% | 2,403 | 1,733 | $133K |
| 99205 | Prolong outpt/office vis | 2.9% | 573 | 567 | $128K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 762 | 245 | $34K |
| 80305 | <1% | 2,100 | 1,444 | $27K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 278 | 210 | $25K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 44 | 44 | $23K |
| 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 | <1% | 167 | 37 | $19K |
| 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% | 128 | 127 | $18K |
| 86580 | <1% | 1,795 | 1,218 | $18K |
12 more codes
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 273 | $17K |
| 90837 | Psychotherapy session, about an hour | <1% | 96 | $12K |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 102 | $6K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 37 | $6K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 81 | $5K |
| 81025 | <1% | 456 | $4K | |
| H0001 | Alcohol and/or drug assessment | <1% | 30 | $2K |
| 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% | 140 | $2K |
| G0176 | Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) | <1% | 28 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 129 | $831.11 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 17 | $478.55 |
| 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% | 152 | $28.62 |
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 officialCHAVEZ, PAUL (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| State of the Heart Recovery | Albuquerque, NM | $7.50M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.