Guided Life Structures
Guided Life Structures was paid $2.50M by Medicaid between Jan 2018 and Dec 2024, across 8 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.
SOMERVILLE, NJ 08876
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in New Jersey
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,312 | $200K | |
| 2019 | 4,141 | $232K | |
| 2020 | 7,554 | $470K | |
| 2021 | 7,641 | $444K | |
| 2022 | 8,714 | $504K | |
| 2023 | 7,942 | $425K | |
| 2024incomplete | 4,472 | $220K |
What it billed for
| Code | Service | Share | Claims | Bene. records | 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 | 45% | 10,192 | 948 | $1.12M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 37% | 9,767 | 2,714 | $914K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 17% | 14,596 | 2,079 | $416K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | <1% | 8,202 | 2,595 | $21K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 68 | 67 | $11K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 71 | 49 | $8K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 49 | 49 | $6K |
| H0003 | Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs | <1% | 831 | 301 | $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.