Montefiore Medical Center

Montefiore Medical Center was paid $1.44M by Medicaid between Jan 2019 and Apr 2023, across 6 billing codes. Its largest line is 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) — 39% of everything it billed.

Compared with peers

Next to other Methadone Clinic providers in New York

Rank by total paid#16 of 21

Median peer was paid$4.89M

This provider vs. median0.3×

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
2019	8,303	$365K
2020	4,913	$420K
2021	4,027	$368K
2022	2,590	$230K
2023	624	$60K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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)	39%	2,694	1,078	$558K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	33%	14,650	1,860	$481K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	18%	2,124	1,253	$254K
G0397	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes	9.3%	828	603	$134K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.0%	148	100	$15K
H0004	Behavioral health counseling and therapy, per 15 minutes	<1%	13	12	$821.55

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 officialBERNSTEIN, MARTIN (SENIOR DIRECTOR HSR)