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FINGER LAKES AREA COUNSELING AND RECOVERY AGENCY, INC.

Counselor, Addiction (Substance Use Disorder)·CLIFTON SPRINGS, NY·NPI: 1366434011Share

Compared to Counselor, Addiction (Substance Use Disorder) Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $44.6M is at the 50th percentile among 20 Counselor, Addiction (Substance Use Disorder) providers.

Active Billing Period:2019-012024-12(72 months)

Total Paid

$44.6M

$44,576,019

Total Claims

430K

Beneficiaries

170K

2.5 claims/patient

Avg Cost/Claim

$104

Monthly Spending Trend

Yearly Spending

2019
$1.8M
+302%
2020
$7.3M
+1%
2021
$7.4M
+28%
2022
$9.4M
+5%
2023
$9.9M
-11%
2024
$8.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 39 distinct procedure codes. The top code (H2036 (Alcohol/drug treatment, per hour)) accounts for 39% of total spending.

H2036Normal range

Alcohol/drug treatment, per hour

$17.4M

111K claims · 39.1%

Your Cost: $157.43/claim|Median: $253.79
0.6× median
90832Top 10%

Psychotherapy, 30 minutes

$5.2M

54K claims · 11.6%

Your Cost: $95.31/claim|Median: $41.28
2.3× median
H0038Normal range

Self-help/peer services, per 15 minutes

$4.0M

57K claims · 8.9%

Your Cost: $69.07/claim|Median: $55.04
1.3× median
90853Top 25%

Group psychotherapy

$3.8M

76K claims · 8.6%

Your Cost: $50.61/claim|Median: $25.02
2.0× median
90834Top 10%

Psychotherapy, 45 minutes

$3.4M

27K claims · 7.6%

Your Cost: $126.20/claim|Median: $63.65
2.0× median
99213Top 5%

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

$2.3M

21K claims · 5.1%

Your Cost: $105.49/claim|Median: $37.81
2.8× median
90791Top 25%

Psychiatric diagnostic evaluation

$2.1M

13K claims · 4.6%

Your Cost: $158.50/claim|Median: $99.21
1.6× median
99214Top 5%

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

$1.6M

13K claims · 3.5%

Your Cost: $122.19/claim|Median: $53.41
2.3× median
T1040Normal range

Medicaid certified CCBHC services

$941K

6,545 claims · 2.1%

Your Cost: $143.74/claim|Median: $130.29
1.1× median
H0001Normal range

Alcohol and/or drug assessment

$663K

4,866 claims · 1.5%

Your Cost: $136.29/claim|Median: $94.22
1.4× median
H0005Normal range

Alcohol and/or drug services, group counseling

$598K

13K claims · 1.3%

Your Cost: $47.63/claim|Median: $47.35
1.0× median
90833Top 25%

Psychotherapy, 30 min, add-on to E/M service

$475K

8,192 claims · 1.1%

Your Cost: $57.97/claim|Median: $38.83
1.5× median
G0396Normal range

Alcohol/substance abuse structured assessment, 15-30 minutes

$471K

5,446 claims · 1.1%

Your Cost: $86.52/claim|Median: $40.58
2.1× median
99212Top 5%

Office/outpatient visit, low complexity

$369K

3,066 claims · 0.8%

Your Cost: $120.27/claim|Median: $25.06
4.8× median
G0397Normal range

$358K

3,262 claims · 0.8%

Your Cost: $109.87/claim|Median: $142.31
0.8× median
H2011Normal range

Crisis intervention service, per 15 minutes

$287K

1,628 claims · 0.6%

Your Cost: $176.47/claim|Median: $215.80
0.8× median
S9485Top 25%

Crisis intervention mental health services, per diem

$165K

170 claims · 0.4%

Your Cost: $969.80/claim|Median: $501.33
1.9× median
99215Normal range

Office/outpatient visit, high complexity

$98K

908 claims · 0.2%

Your Cost: $107.43/claim|Median: $74.09
1.5× median
90836Top 25%

Psychotherapy, 45 min, add-on to E/M

$78K

926 claims · 0.2%

Your Cost: $84.72/claim|Median: $56.18
1.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$76K

600 claims · 0.2%

Your Cost: $127.28/claim|Median: $111.09
1.1× median
H0002Top 25%

Behavioral health screening

$50K

339 claims · 0.1%

Your Cost: $146.84/claim|Median: $38.77
3.8× median
99051Normal range

$47K

4,037 claims · 0.1%

Your Cost: $11.62/claim|Median: $7.89
1.5× median
99203Top 10%

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

$39K

339 claims · 0.1%

Your Cost: $114.55/claim|Median: $57.85
2.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$39K

835 claims · 0.1%

Your Cost: $46.49/claim|Median: $74.63
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$33K

2,515 claims · 0.1%

Your Cost: $12.98/claim|Median: $9.56
1.4× median
99402Normal range

$32K

675 claims · 0.1%

Your Cost: $47.64/claim|Median: $31.79
1.5× median
90846Normal range

Family psychotherapy without patient, 50 min

$20K

193 claims · 0.0%

Your Cost: $102.36/claim|Median: $76.61
1.3× median
90882Normal range

Environmental intervention

$16K

343 claims · 0.0%

Your Cost: $48.07/claim|Median: $45.05
1.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$15K

109 claims · 0.0%

Your Cost: $137.53/claim|Median: $108.91
1.3× median
90838Top 25%

Psychotherapy, 60 min, add-on to E/M

$13K

122 claims · 0.0%

Your Cost: $110.23/claim|Median: $67.05
1.6× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$4K

87 claims · 0.0%

Your Cost: $46.80/claim|Median: $106.70
0.4× median
90847Top 10%

Family psychotherapy with patient, 50 min

$4K

19 claims · 0.0%

Your Cost: $206.47/claim|Median: $77.33
2.7× median
99403Normal range

$4K

63 claims · 0.0%

Your Cost: $61.04/claim|Median: $47.11
1.3× median
A0160Normal range

$3K

266 claims · 0.0%

Your Cost: $11.67/claim|Median: $12.60
0.9× median
H0050Normal range

$2K

50 claims · 0.0%

Your Cost: $45.37/claim|Median: $46.71
1.0× median
99401Top 5%

$2K

49 claims · 0.0%

Your Cost: $38.63/claim|Median: $16.53
2.3× median
99204Top 25%

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

$1K

12 claims · 0.0%

Your Cost: $119.10/claim|Median: $84.03
1.4× median
Q9991Normal range

$159

12 claims · 0.0%

Your Cost: $13.23/claim|Median: $1,554.42
0.0× median
Q9992Normal range

$0

30 claims · 0.0%

Your Cost: $0.00/claim|Median: $1,537.34