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Helio Health Inc.

Substance Abuse Rehabilitation Facility·Syracuse, NY·NPI: 1609892280Share

Compared to Substance Abuse Rehabilitation Facility Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $162.9M is at the 75th percentile among 20 Substance Abuse Rehabilitation Facility providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$162.9M

$162,855,889

Total Claims

1.3M

Beneficiaries

317K

4.2 claims/patient

Avg Cost/Claim

$121

#628 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Helio Health Inc. is a Substance Abuse Rehabilitation Facility provider based in Syracuse, NY. From the 2018–2024 period, this provider received $162.9M in Medicaid payments across 1.3M claims.

Why This Matters

This provider received $162.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 20,356 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 114% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$12.2M
+14%
2019
$13.9M
+46%
2020
$20.2M
+32%
2021
$26.6M
+20%
2022
$31.9M
+1%
2023
$32.1M
-19%
2024
$26.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1040 (Medicaid certified CCBHC services)) accounts for 56% of total spending.

T1040Normal range

Medicaid certified CCBHC services

$90.5M

853K claims · 55.6%

Your Cost: $106.17/claim|Median: $130.29
0.8× median
H2036Top 10%

Alcohol/drug treatment, per hour

$28.6M

16K claims · 17.5%

Your Cost: $1,733.85/claim|Median: $253.79
6.8× median
G2067Top 25%

Medication-assisted treatment, opioid use disorder, per month

$20.3M

103K claims · 12.4%

Your Cost: $195.98/claim|Median: $73.29
2.7× median
H0020Normal range

Alcohol/drug services; methadone administration

$4.6M

201K claims · 2.8%

Your Cost: $22.93/claim|Median: $18.95
1.2× median
90832Top 10%

Psychotherapy, 30 minutes

$4.2M

47K claims · 2.6%

Your Cost: $89.12/claim|Median: $41.28
2.2× median
H2019Top 5%

Therapeutic behavioral services, per 15 min

$3.1M

5,525 claims · 1.9%

Your Cost: $557.41/claim|Median: $84.12
6.6× median
90853Top 25%

Group psychotherapy

$1.9M

37K claims · 1.2%

Your Cost: $52.07/claim|Median: $25.02
2.1× median
90834Top 10%

Psychotherapy, 45 minutes

$1.8M

16K claims · 1.1%

Your Cost: $110.73/claim|Median: $63.65
1.7× median
99213Top 5%

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

$1.2M

11K claims · 0.7%

Your Cost: $104.28/claim|Median: $37.81
2.8× median
H0001Normal range

Alcohol and/or drug assessment

$995K

7,363 claims · 0.6%

Your Cost: $135.13/claim|Median: $94.22
1.4× median
T1015Top 5%

Clinic visit/encounter, all-inclusive

$848K

2,711 claims · 0.5%

Your Cost: $312.70/claim|Median: $121.16
2.6× median
99214Top 10%

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

$671K

6,751 claims · 0.4%

Your Cost: $99.46/claim|Median: $53.41
1.9× median
99212Top 5%

Office/outpatient visit, low complexity

$666K

5,594 claims · 0.4%

Your Cost: $119.02/claim|Median: $25.06
4.7× median
S9484Top 25%

Crisis intervention mental health services, per hour

$663K

1,009 claims · 0.4%

Your Cost: $656.91/claim|Median: $249.51
2.6× median
S9485Top 10%

Crisis intervention mental health services, per diem

$653K

496 claims · 0.4%

Your Cost: $1,316.25/claim|Median: $501.33
2.6× median
H0038Normal range

Self-help/peer services, per 15 minutes

$435K

8,235 claims · 0.3%

Your Cost: $52.88/claim|Median: $55.04
1.0× median
S9480Normal range

Intensive outpatient psychiatric services, per diem

$337K

3,459 claims · 0.2%

Your Cost: $97.52/claim|Median: $135.70
0.7× median
90791Top 25%

Psychiatric diagnostic evaluation

$279K

2,007 claims · 0.2%

Your Cost: $138.83/claim|Median: $99.21
1.4× median
H2018Normal range

Psychosocial rehabilitation services, per diem

$154K

323 claims · 0.1%

Your Cost: $476.53/claim|Median: $392.63
1.2× median
H0005Top 5%

Alcohol and/or drug services, group counseling

$149K

1,587 claims · 0.1%

Your Cost: $93.99/claim|Median: $47.35
2.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$120K

2,596 claims · 0.1%

Your Cost: $46.22/claim|Median: $74.63
0.6× median
99211Top 25%

Office/outpatient visit, minimal complexity

$105K

5,168 claims · 0.1%

Your Cost: $20.30/claim|Median: $12.93
1.6× median
H0014Normal range

$96K

732 claims · 0.1%

Your Cost: $131.56/claim|Median: $137.81
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$91K

862 claims · 0.1%

Your Cost: $104.99/claim|Median: $74.09
1.4× median
T1016Normal range

Case management, each 15 min

$60K

900 claims · 0.0%

Your Cost: $66.91/claim|Median: $49.62
1.3× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$55K

477 claims · 0.0%

Your Cost: $114.35/claim|Median: $91.63
1.2× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$54K

479 claims · 0.0%

Your Cost: $113.67/claim|Median: $40.11
2.8× median
H0013Normal range

$54K

592 claims · 0.0%

Your Cost: $91.89/claim|Median: $397.82
0.2× median
H0002Top 25%

Behavioral health screening

$51K

374 claims · 0.0%

Your Cost: $135.63/claim|Median: $38.77
3.5× median
99341Top 25%

$23K

190 claims · 0.0%

Your Cost: $121.11/claim|Median: $20.60
5.9× median

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