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PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS INC

Clinic/Center, Methadone Clinic·BRONX, NY·NPI: 1508849993Share

Compared to Clinic/Center, Methadone Clinic Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $38.0M is at the 50th percentile among 5 Clinic/Center, Methadone Clinic providers.

Active Billing Period:2019-03→2024-12(70 months)

Total Paid

$38.0M

$38,031,835

Total Claims

926K

Beneficiaries

103K

9.0 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2019
$2.4M
+236%
2020
$8.0M
-2%
2021
$7.8M
+0%
2022
$7.8M
-7%
2023
$7.3M
-33%
2024
$4.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 53% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$20.2M

698K claims · 53.2%

Your Cost: $28.97/claim|Median: $18.95
1.5× median
90834Top 10%

Psychotherapy, 45 minutes

$7.3M

60K claims · 19.2%

Your Cost: $120.84/claim|Median: $63.65
1.9× median
H0005Normal range

Alcohol and/or drug services, group counseling

$5.2M

101K claims · 13.8%

Your Cost: $51.55/claim|Median: $47.35
1.1× median
90832Top 10%

Psychotherapy, 30 minutes

$3.0M

32K claims · 7.9%

Your Cost: $92.71/claim|Median: $41.28
2.2× median
99212Top 5%

Office/outpatient visit, low complexity

$816K

6,572 claims · 2.1%

Your Cost: $124.16/claim|Median: $25.06
5.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$336K

7,458 claims · 0.9%

Your Cost: $45.11/claim|Median: $55.04
0.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$325K

7,231 claims · 0.9%

Your Cost: $45.00/claim|Median: $74.63
0.6× median
90791Top 10%

Psychiatric diagnostic evaluation

$245K

1,391 claims · 0.6%

Your Cost: $175.96/claim|Median: $99.21
1.8× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$137K

4,076 claims · 0.4%

Your Cost: $33.64/claim|Median: $73.29
0.5× median
99214Top 10%

Office/outpatient visit, est. patient, mod-high complexity

$133K

1,151 claims · 0.4%

Your Cost: $115.86/claim|Median: $53.41
2.2× median
99213Top 5%

Office/outpatient visit, est. patient, low-mod complexity

$124K

913 claims · 0.3%

Your Cost: $136.07/claim|Median: $37.81
3.6× median
G2078Normal range

$65K

3,213 claims · 0.2%

Your Cost: $20.31/claim|Median: $27.04
0.8× median
99406Top 1%

$36K

753 claims · 0.1%

Your Cost: $47.68/claim|Median: $6.53
7.3× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$28K

253 claims · 0.1%

Your Cost: $112.01/claim|Median: $84.03
1.3× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$22K

150 claims · 0.1%

Your Cost: $145.76/claim|Median: $76.06
1.9× median
99386Top 10%

Preventive visit, new patient, 40-64 yr

$9K

59 claims · 0.0%

Your Cost: $149.66/claim|Median: $87.82
1.7× median
H0001Top 25%

Alcohol and/or drug assessment

$4K

28 claims · 0.0%

Your Cost: $159.26/claim|Median: $94.22
1.7× median
99211Top 25%

Office/outpatient visit, minimal complexity

$4K

177 claims · 0.0%

Your Cost: $21.25/claim|Median: $12.93
1.6× median
H0050Normal range

$2K

52 claims · 0.0%

Your Cost: $31.10/claim|Median: $46.71
0.7× median
90882Top 25%

Environmental intervention

$2K

21 claims · 0.0%

Your Cost: $75.01/claim|Median: $45.05
1.7× median

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$1.48B

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$1.44B

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$122.8M

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