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NPI 1942486717 · Buffalo, NY · Substance Use Disorder Rehabilitation Clinic/Center
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Puerto Rican Organization To Motivate Enlighten And Serve Addicts, Inc is a substance use disorder rehabilitation clinic/center provider located in Buffalo, New York. This profile covers 2 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Puerto Rican Organization To Motivate Enlighten And Serve Addicts, Inc |
| Address | 254 Virginia St |
| City | Buffalo |
| State | NY |
| ZIP | 14201 |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| NPI Enumerated | January 11, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $10.2M |
| Medicare | $180.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | 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… | 720 | $220 | $156.7K |
| 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 | 710 | $30 | $24K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
12 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) | 343,770 | $30 | $8.6M |
| 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… | 6,360 | $100 | $641.9K |
| 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… | 4,140 | $130 | $546.2K |
| 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… | 2,050 | $120 | $237.3K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 1,970 | $50 | $94.3K |
| H0038 | Self‑help/peer services, per 15 minutes | 590 | $80 | $47.7K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 890 | $50 | $41.6K |
| 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 | 1,520 | $20 | $34.9K |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 660 | $50 | $31.9K |
| 99407 | The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes. | 550 | $40 | $20.4K |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
12 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… | 88 | 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) | 16 | 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… | 330 | 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… | 580 | 2,200 | 1,010 | $130 | $892.2K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 144 | 230 | 3,600 | $60 | $805.5K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 155 | 270 | 1,340 | $110 | $658.2K |
| 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… | 4,732 | 19,110 | 360 | $70 | $321K |
| H0038 | Self‑help/peer services, per 15 minutes | 147 | 240 | 950 | $70 | $205.4K |
| 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 | 21 | 50 | 1,060 | $30 | $84.5K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 1,706 | 2,010 | 200 | $90 | $81.7K |
Showing 1–10 of 12
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 |
|---|---|---|---|---|
| Greater Buffalo United Ipa | NY | Family Medicine Physician | $0 | $58.3M |
| Bestself Behavioral Health, Inc. | NY | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $57.6M |
| Cinq-ny Health Home Ipa, LLC | NY | Multi-Specialty Clinic/Center | $0 | $38.4M |
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