Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

VERTEX LLC

NPI: 1831377407 · BRONX, NY 10469 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 02/06/2008

$24.56M
Total Medicaid Paid
234,740
Total Claims
55,937
Beneficiaries
8
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGORNOPOLSKY, ZOYA (PRESIDENT)
NPI Enumeration Date02/06/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 5,145 $489K
2020 27,751 $2.58M
2021 61,966 $5.96M
2022 46,320 $4.96M
2023 45,537 $4.98M
2024 48,021 $5.60M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 67,539 18,344 $10.51M
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 60,458 14,584 $6.85M
H0005 Alcohol and/or drug services; group counseling by a clinician 99,582 17,098 $6.06M
H0001 Alcohol and/or drug assessment 4,670 3,672 $803K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,808 1,772 $266K
99201 428 214 $40K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 225 223 $29K
99406 30 30 $663.00