Helio Health, INC.

Helio Health, INC. was paid $162.86M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is T1040, Medicaid certified community behavioral health clinic services, per diem — 56% of everything it billed.

33Billing provider infoHELIO HEALTH, INC.
SYRACUSE, NY 13203

33aNPI1609892280assigned 07/15/2006

33bProvider typeSubstance Abuse Rehabilitation Facility

28Total paid$162.86M

24GClaims1,345,505

24DCodes billed50

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Substance Abuse Rehabilitation Facility providers in New York

Rank by total paid#2 of 61

Median peer was paid$2.37M

This provider vs. median69×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	95,817	$12.16M
2019	175,073	$13.88M
2020	215,065	$20.21M
2021	223,265	$26.61M
2022	241,201	$31.93M
2023	231,237	$32.10M
2024incomplete	163,847	$25.96M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1040	Medicaid certified community behavioral health clinic services, per diem	56%	852,510	155,143	$90.51M
H2036	Alcohol and/or other drug treatment program, per diem	18%	16,483	7,832	$28.58M
G2067	Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program)	12%	103,337	33,391	$20.25M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	2.8%	200,716	24,665	$4.60M
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	2.6%	47,189	25,967	$4.21M
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	1.9%	5,525	5,505	$3.08M
90853	Group psychotherapy (other than of a multiple-family group)	1.2%	36,750	9,525	$1.91M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	1.1%	16,189	9,521	$1.79M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	11,359	8,412	$1.18M
H0001	Alcohol and/or drug assessment	<1%	7,363	4,412	$995K
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	<1%	2,711	2,709	$848K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	<1%	6,751	5,402	$671K

38 more codes

99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	5,594	$666K
S9484	Crisis intervention mental health services, per hour	<1%	1,009	$663K
S9485	Crisis intervention mental health services, per diem	<1%	496	$653K
H0038	Self-help/peer services, per 15 minutes	<1%	8,235	$435K
S9480	Intensive outpatient psychiatric services, per diem	<1%	3,459	$337K
90791	Psychiatric diagnostic evaluation	<1%	2,007	$279K
H2018	Psychosocial rehabilitation services, per diem	<1%	323	$154K
H0005	Alcohol and/or drug services; group counseling by a clinician	<1%	1,587	$149K
H0004	Behavioral health counseling and therapy, per 15 minutes	<1%	2,596	$120K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	5,168	$105K
H0014	Alcohol and/or drug services; ambulatory detoxification	<1%	732	$96K
99215	Doctor's office visit, returning patient (complex)	<1%	862	$91K
T1016	Case management, each 15 minutes	<1%	900	$60K
H2017	Psychosocial rehabilitation, billed per 15 minutes	<1%	477	$55K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	479	$54K
H0013	Alcohol and/or drug services; acute detoxification (residential addiction program outpatient)	<1%	592	$54K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	<1%	374	$51K
99341		<1%	190	$23K
99409		<1%	640	$22K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	241	$19K
99342		<1%	156	$19K
90837	Psychotherapy session, about an hour	<1%	152	$17K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	518	$15K
99348		<1%	144	$15K
H0050	Alcohol and/or drug services, brief intervention, per 15 minutes	<1%	305	$12K
99385		<1%	210	$11K
99203	Doctor's office visit, new patient (routine)	<1%	63	$9K
99205	Prolong outpt/office vis	<1%	50	$6K
99201		<1%	54	$5K
99204	Doctor's office visit, new patient (more involved)	<1%	39	$5K
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	<1%	699	$5K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	<1%	75	$5K
99401		<1%	15	$4K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	41	$3K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	37	$3K
99347		<1%	19	$2K
90882		<1%	28	$1K
A0160	Non-emergency transportation: per mile - case worker or social worker	<1%	56	$142.83

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSOHAN, ROZANNA (DIRECTOR OF RCM)