Prodigal Sons and Daughters Behavioral Healthcare Services
Prodigal Sons and Daughters Behavioral Healthcare Services was paid $4.37M by Medicaid between Apr 2019 and Mar 2023, across 7 billing codes. Its largest line is 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 — 70% of everything it billed.
EAST ORANGE, NJ 07018
Next to other Substance Abuse Rehabilitation Facility providers in New Jersey
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 2,434 | $125K | |
| 2020 | 2,316 | $125K | |
| 2021 | 26,172 | $2.70M | |
| 2022 | 13,339 | $1.37M | |
| 2023 | 661 | $50K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 70% | 28,135 | 2,338 | $3.07M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 26% | 12,488 | 2,103 | $1.12M |
| 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 | 3.0% | 1,283 | 482 | $133K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,194 | 302 | $32K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 17 | 17 | $7K |
| H0003 | Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs | <1% | 813 | 237 | $4K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | <1% | 992 | 392 | $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.