Clinic
Citizen Advocates, INC
Citizen Advocates, INC was paid $65.86M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is T1040, Medicaid certified community behavioral health clinic services, per diem — 24% of everything it billed.
33Billing provider infoCITIZEN ADVOCATES, INC
MALONE, NY 12953
MALONE, NY 12953
33aNPI1780619064assigned 07/12/2006
33bProvider typeDevelopmental Disabilities Clinic/Center
28Total paid$65.86M
24GClaims484,089
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Developmental Disabilities Clinic/Center providers in New York
Rank by total paid#1 of 34
Median peer was paid$1.56M
This provider vs. median42×
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 | |
|---|---|---|---|
| 2018 | 52,291 | $5.53M | |
| 2019 | 62,958 | $6.24M | |
| 2020 | 86,069 | $8.46M | |
| 2021 | 95,000 | $9.94M | |
| 2022 | 60,686 | $10.65M | |
| 2023 | 58,815 | $12.24M | |
| 2024incomplete | 68,270 | $12.81M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 24% | 135,948 | 32,381 | $15.51M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.9% | 46,891 | 27,676 | $5.87M |
| T2034 | Crisis intervention, waiver; per diem | 8.8% | 6,485 | 793 | $5.79M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 8.7% | 46,188 | 19,974 | $5.71M |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 8.5% | 54,674 | 16,010 | $5.57M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 7.6% | 28,527 | 17,159 | $5.02M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 6.5% | 27,919 | 17,148 | $4.29M |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 4.4% | 22,778 | 4,667 | $2.87M |
| 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 | 4.1% | 21,389 | 13,372 | $2.72M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 4.0% | 13,764 | 4,312 | $2.65M |
| T1016 | Case management, each 15 minutes | 3.6% | 21,812 | 5,097 | $2.37M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.5% | 12,162 | 7,919 | $1.67M |
15 more codes
| H2011 | Crisis intervention service, per 15 minutes | 2.2% | 13,358 | $1.47M |
| H0038 | Self-help/peer services, per 15 minutes | 1.6% | 7,374 | $1.06M |
| 99401 | 1.2% | 7,623 | $810K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 4,693 | $795K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 3,810 | $568K |
| H2010 | Comprehensive medication services, per 15 minutes | <1% | 3,987 | $397K |
| S9485 | Crisis intervention mental health services, per diem | <1% | 249 | $240K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 1,003 | $121K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,121 | $117K |
| 99051 | <1% | 1,480 | $88K | |
| S9484 | Crisis intervention mental health services, per hour | <1% | 203 | $75K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 295 | $25K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 207 | $22K |
| 90839 | <1% | 119 | $21K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 30 | $3K |
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 officialBARNEY, HEATHER (CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Citizen Advocates, INC | Malone, NY | $208K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.