Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New York (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Puerto Rican Organization To Motivate Enlighten And Serve Addicts Inc (NPI 1508849993)

Field	Value
Entity Type	Organization
Organization	Puerto Rican Organization To Motivate Enlighten And Serve Addicts Inc
Address	1776 Clay Avenue
City	Bronx
State	NY
ZIP	10457
Taxonomy	Methadone Clinic
NPI Enumerated	November 21, 2005

Payer Source	Total Paid
Medicaid	$38.1M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	698,060	$30	$20.2M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	60,320	$120	$7.3M
H0005	Alcohol and/or drug services; group counseling by a clinician	101,460	$50	$5.3M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	32,340	$90	$3M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	6,570	$120	$814.9K
H0038	Self‑help/peer services, per 15 minutes	7,460	$50	$335.6K
H0004	Behavioral health counseling and therapy, per 15 minutes	7,230	$50	$325.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,390	$180	$244.8K
G2067	Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…	4,080	$30	$138.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,150	$120	$133.5K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

Claims Volume vs. New York Distribution

Puerto Rican Organization To Motivate Enlighten And Serve Addicts Inc — 3 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G2067	Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…	52	90	5,000	$210	$4.5M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	6	120	61,480	$30	$4.4M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	87	1,510	1,010	$110	$1.1M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	45	2,200	1,010	$130	$892.2K
H0005	Alcohol and/or drug services; group counseling by a clinician	4	230	3,600	$60	$805.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	58	270	1,340	$110	$658.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	258	1,320	140	$260	$334K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	6,889	19,110	360	$70	$321K
H0038	Self‑help/peer services, per 15 minutes	29	240	950	$70	$205.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	3,713	16,550	220	$90	$186.8K

Showing 1–10 of 20

Related Providers

Other providers that share a Tax Identification Number (TIN) with Puerto Rican Organization To Motivate Enlighten And Serve Addicts Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Puerto Rican Organization To Motivate Enlighten And Serve Addicts Inc	NY	Substance Use Disorder Rehabilitation Clinic/Center	$439.8K	$64.2M
Puerto Rican Organization To Motivate Enlighten And Serve Addicts, Inc	NY	Substance Abuse Rehabilitation Facility	$201.9K	$36.3M
Puerto Rican Organization To Motivate Enlighten And Serve Addicts, Inc	NY	Substance Use Disorder Rehabilitation Clinic/Center	$457.1K	$23.5M
Puerto Rican Organization To Motivate Enlighten And Serve Addicts, Inc	NY	Substance Use Disorder Rehabilitation Clinic/Center	$180.6K	$10.2M

Nearby Providers

Other providers in the same ZIP code as Puerto Rican Organization To Motivate Enlighten And Serve Addicts Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bronxcare Health System	NY	General Acute Care Hospital	$0	$348.5M
St. Barnabas Hospital	NY	General Acute Care Hospital	$149.3K	$163.4M
Bronxcare Health System	NY	Internal Medicine Physician	$0	$62.3M
Sbh Physicians, PC	NY	Internal Medicine Physician	$0	$31.5M
Joshua Rubinstein	NY	Specialist	$438.6K	$71K
Harvey Stern	NY	Diagnostic Radiology Physician	$260.6K	$80.3K
Shahin Gharib	NY	Emergency Medicine Physician	$291.6K	$7.5K
Misbahuddin Khaja	NY	Pulmonary Disease Physician	$69.3K	$179.3K
Juan Acosta	NY	Emergency Medicine Physician	$201.4K	$16.3K
Manoj Bhandari	NY	Cardiovascular Disease Physician	$188.4K	$13.7K

Puerto Rican Organization To Motivate Enlighten And Serve Addicts Inc — Billing Profile & Reimbursement Data

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Puerto Rican Organization To Motivate Enlighten And Serve Addicts Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References