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NPI 1609892280 · Syracuse, NY · Substance Abuse Rehabilitation Facility
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Helio Health, Inc. is a substance abuse rehabilitation facility provider located in Syracuse, New York. This profile covers 2 Medicare and 50 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 | Helio Health, Inc. |
| Address | 847 James St |
| City | Syracuse |
| State | NY |
| ZIP | 13203 |
| Taxonomy | Substance Abuse Rehabilitation Facility |
| NPI Enumerated | July 15, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $162.7M |
| Medicare | $149.9K |
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… | 670 | $200 | $130.1K |
| 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 | 550 | $40 | $19.9K |
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.
50 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 852,510 | $110 | $90.4M |
| H2036 | Alcohol and/or other drug treatment program, per diem | 16,480 | $1,730 | $28.6M |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 103,340 | $200 | $20.3M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 200,720 | $20 | $4.6M |
| 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… | 47,190 | $90 | $4.2M |
| H2019 | Therapeutic behavioral services, per 15 minutes | 5,530 | $560 | $3.1M |
| 90853 | Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of… | 36,750 | $50 | $1.9M |
| 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… | 16,190 | $110 | $1.8M |
| 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… | 11,360 | $100 | $1.2M |
| H0001 | Alcohol and/or drug assessment | 7,360 | $140 | $994K |
Showing 1–10 of 50
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
50 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 2 | 30 | 47,730 | $120 | $24.8M |
| H2036 | Alcohol and/or other drug treatment program, per diem | 38 | 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… | 5 | 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) | 26 | 120 | 61,480 | $30 | $4.4M |
| T1016 | Case management, each 15 minutes | 28 | 40 | 3,630 | $220 | $3.7M |
| H2018 | Psychosocial rehabilitation services, per diem | 62 | 90 | 720 | $1,900 | $2.4M |
| H2019 | Therapeutic behavioral services, per 15 minutes | 27 | 170 | 1,390 | $570 | $1.6M |
| 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… | 52 | 1,510 | 1,010 | $110 | $1.1M |
| S9485 | Crisis intervention mental health services, per diem | 12 | 30 | 270 | $1,190 | $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… | 209 | 2,200 | 1,010 | $130 | $892.2K |
Showing 1–10 of 50
Other providers in the same ZIP code as Helio Health, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| St Josephs Hospital Health Center | NY | General Acute Care Hospital | $0 | $113M |
| Liberty Resources Inc. | NY | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $53.9M |
| Arise Child And Family Service Inc. | NY | In Home Supportive Care Agency | $0 | $41M |
| J Riley | NY | Vascular Surgery Physician | $290.1K | $652.7K |
| Michael Chang | NY | Diagnostic Radiology Physician | $400K | $1.2K |
| Lawrence Semel | NY | Vascular Surgery Physician | $290.1K | $7.9K |
| Mark Baesl | NY | Vascular & Interventional Radiology Physician | $212.4K | $0 |
| Muhammad Khan | NY | Vascular Surgery Physician | $172.1K | $8.4K |
| Shashi Kumar | NY | Internal Medicine Physician | $172.6K | $7.8K |
| Juno Lee | NY | Vascular & Interventional Radiology Physician | $116.2K | $0 |
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