5034 ATLANTIC AVENUE OPCO, LLC
NPI: 1841757846
· SOUTH AMBOY, NJ 08879
· Substance Use Disorder Rehabilitation Clinic/Center
· NPI assigned 02/26/2019
$424K
Total Medicaid Paid
Provider Details
| Authorized Official | CRUZ, SERGE (CFO) |
| NPI Enumeration Date | 02/26/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
523 |
$61K |
| 2022 |
1,321 |
$155K |
| 2023 |
1,609 |
$201K |
| 2024 |
146 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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 |
3,067 |
528 |
$349K |
| 90791 |
Psychiatric diagnostic evaluation |
400 |
398 |
$71K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
132 |
25 |
$4K |