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ALCOHOLISM & SUBSTANCE ABUSE COUNCIL OF SCHENECTADY COUNTY, INC.

Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)·SCHENECTADY, NY·NPI: 1437221355Share
Active Billing Period:2019-012024-12(72 months)

Total Paid

$20.8M

$20,763,998

Total Claims

213K

Beneficiaries

78K

2.7 claims/patient

Avg Cost/Claim

$97

Monthly Spending Trend

Yearly Spending

2019
$1.4M
+107%
2020
$2.9M
+4%
2021
$3.0M
+2%
2022
$3.1M
+62%
2023
$5.0M
+8%
2024
$5.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (H2036 (Alcohol/drug treatment, per hour)) accounts for 33% of total spending.

H2036Normal range

Alcohol/drug treatment, per hour

$6.8M

58K claims · 32.8%

Your Cost: $118.14/claim|Median: $253.79
0.5× median
G0396Normal range

Alcohol/substance abuse structured assessment, 15-30 minutes

$3.9M

40K claims · 18.9%

Your Cost: $97.76/claim|Median: $40.58
2.4× median
99214Top 5%

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

$2.1M

17K claims · 10.0%

Your Cost: $118.80/claim|Median: $53.41
2.2× median
H0005Normal range

Alcohol and/or drug services, group counseling

$1.9M

36K claims · 8.9%

Your Cost: $51.23/claim|Median: $47.35
1.1× median
G0397Normal range

$1.7M

13K claims · 8.0%

Your Cost: $131.75/claim|Median: $142.31
0.9× median
G2067Top 10%

Medication-assisted treatment, opioid use disorder, per month

$1.5M

7,543 claims · 7.2%

Your Cost: $198.95/claim|Median: $73.29
2.7× median
H2001Normal range

$1.0M

13K claims · 5.0%

Your Cost: $79.75/claim|Median: $309.28
0.3× median
H0002Top 10%

Behavioral health screening

$634K

3,805 claims · 3.1%

Your Cost: $166.51/claim|Median: $38.77
4.3× median
H0038Normal range

Self-help/peer services, per 15 minutes

$477K

9,173 claims · 2.3%

Your Cost: $52.04/claim|Median: $55.04
0.9× median
H0001Normal range

Alcohol and/or drug assessment

$305K

2,203 claims · 1.5%

Your Cost: $138.65/claim|Median: $94.22
1.5× median
H0020Normal range

Alcohol/drug services; methadone administration

$223K

8,673 claims · 1.1%

Your Cost: $25.66/claim|Median: $18.95
1.4× median
99213Top 5%

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

$74K

568 claims · 0.4%

Your Cost: $130.06/claim|Median: $37.81
3.4× median
99204Top 25%

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

$70K

569 claims · 0.3%

Your Cost: $122.53/claim|Median: $84.03
1.5× median
90832Top 25%

Psychotherapy, 30 minutes

$47K

549 claims · 0.2%

Your Cost: $85.37/claim|Median: $41.28
2.1× median
G2078Top 25%

$44K

1,085 claims · 0.2%

Your Cost: $40.38/claim|Median: $27.04
1.5× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$27K

2,032 claims · 0.1%

Your Cost: $13.16/claim|Median: $9.56
1.4× median