Puerto Rican Organization to Motivate Enlighten and Serve Addicts, INC

Puerto Rican Organization to Motivate Enlighten and Serve Addicts, INC was paid $10.18M by Medicaid between Jan 2019 and Nov 2024, across 12 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 83% of everything it billed.

Compared with peers

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

Rank by total paid#11 of 64

Median peer was paid$2.18M

This provider vs. median4.7×

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	24,239	$712K
2020	65,991	$1.82M
2021	81,316	$2.29M
2022	79,122	$2.27M
2023	69,883	$2.05M
2024incomplete	42,124	$1.04M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	83%	343,766	16,091	$8.47M
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	6.3%	6,355	5,016	$642K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	5.4%	4,138	3,194	$545K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.3%	2,046	1,576	$238K
H0005	Alcohol and/or drug services; group counseling by a clinician	<1%	1,965	764	$95K
H0038	Self-help/peer services, per 15 minutes	<1%	589	264	$47K
H0004	Behavioral health counseling and therapy, per 15 minutes	<1%	886	781	$41K
G2078	Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure	<1%	1,516	353	$36K
H0050	Alcohol and/or drug services, brief intervention, per 15 minutes	<1%	664	584	$32K
99407		<1%	552	549	$20K
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)	<1%	174	75	$9K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	24	24	$2K

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 officialALBORS, LYMARIS (COO AND EVP)