Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

South Amboy Health Center LLC

South Amboy Health Center LLC was paid $10.60M by Medicaid between Sep 2020 and Dec 2024, across 10 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 — 45% of everything it billed.

33Billing provider infoSOUTH AMBOY HEALTH CENTER LLC
SOUTH AMBOY, NJ 08879
33aNPI1801414024assigned 07/14/2020
33bProvider typeMethadone Clinic
28Total paid$10.60M
24GClaims94,122
24DCodes billed10
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers

Next to other Methadone Clinic providers in New Jersey

Rank by total paid#11 of 33
Median peer was paid$4.86M
This provider vs. median2.2×

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

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
2020964$86K
20217,028$622K
202227,443$2.79M
202330,037$3.52M
2024incomplete28,650$3.58M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 45% 40,732 3,880 $4.78M
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) 41% 36,384 9,801 $4.32M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 4.1% 4,777 1,301 $435K
G2076 Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code 4.1% 961 957 $432K
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) 1.7% 913 280 $182K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.7% 7,171 5,258 $178K
90792 Psychiatric diagnostic evaluation with medical services <1% 231 231 $101K
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% 2,075 1,361 $65K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 357 356 $64K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 521 421 $50K

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 officialMACEVOY, JOHN (OWNER)