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

5034 Atlantic Avenue Opco, LLC

5034 Atlantic Avenue Opco, LLC was paid $424K by Medicaid between Jul 2021 and Feb 2024, across 3 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 — 82% of everything it billed.

33Billing provider info5034 ATLANTIC AVENUE OPCO, LLC
SOUTH AMBOY, NJ 08879
33aNPI1841757846assigned 02/26/2019
28Total paid$424K
24GClaims3,599
24DCodes billed3
24AFirst – last monthJul 2021 – Feb 2024
Compared with peers

Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in New Jersey

Rank by total paid#42 of 82
Median peer was paid$424K
This provider vs. median1.0×

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$10K$20K$30K2018201920202021202220232024
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
2021523$61K
20221,321$155K
20231,609$201K
2024incomplete146$7K
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 82% 3,067 528 $349K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 17% 400 398 $71K
90853 Group psychotherapy (other than of a multiple-family group) <1% 132 25 $4K

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 officialCRUZ, SERGE (CFO)