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.

Alcoholism & Substance Abuse Council Of Schenectady County, Inc. (NPI 1437221355)

Field	Value
Entity Type	Organization
Organization	Alcoholism & Substance Abuse Council Of Schenectady County, Inc.
Address	728 State St
City	Schenectady
State	NY
ZIP	12307
Taxonomy	Comprehensive Outpatient Rehabilitation Facility (CORF)
NPI Enumerated	November 15, 2006

Payer Source	Total Paid
Medicaid	$20.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	57,710	$120	$6.8M
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	40,110	$100	$3.9M
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…	17,480	$120	$2.1M
H0005	Alcohol and/or drug services; group counseling by a clinician	36,270	$50	$1.8M
G0397	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes	12,570	$130	$1.7M
G2067	Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…	7,540	$200	$1.5M
H2001	Rehabilitation program, per 1/2 day	12,980	$80	$1M
H0002	Behavioral health screening to determine eligibility for admission to treatment program	3,810	$170	$635.4K
H0038	Self‑help/peer services, per 15 minutes	9,170	$50	$477K
H0001	Alcohol and/or drug assessment	2,200	$140	$306.2K

Showing 1–10 of 16

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

Alcoholism & Substance Abuse Council Of Schenectady County, Inc. — 3 of 16 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	8	100	10,060	$200	$4.9M
G2067	Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…	43	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)	89	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…	873	1,510	1,010	$110	$1.1M
H0005	Alcohol and/or drug services; group counseling by a clinician	25	230	3,600	$60	$805.5K
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	13	250	1,290	$110	$761.7K
G0397	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes	15	190	1,030	$140	$613.3K
H2001	Rehabilitation program, per 1/2 day	6	30	2,710	$100	$465.3K
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…	8,246	19,110	360	$70	$321K
H0038	Self‑help/peer services, per 15 minutes	21	240	950	$70	$205.4K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Alcoholism & Substance Abuse Council Of Schenectady County, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Schenectady Family Health Services, Inc.	NY	Family Medicine Physician	$0	$24.9M

Alcoholism & Substance Abuse Council Of Schenectady County, Inc. — Billing Profile & Reimbursement Data

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Alcoholism & Substance Abuse Council Of Schenectady County, 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

Nearby Providers

Frequently Asked Questions

References