Samaritan Daytop Village Inc.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 12 procedure codes: G2067 at 2.8× median, 90832 at 2.7× median.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $1,389.41 per claim for H0040 (Assertive community treatment, face-to-face, per 15 minutes) — 5.2× the national median of $266.41.
Bills $115.32 per claim for 99213 (Office/outpatient visit, est. patient, low-mod complexity) — 3.0× the national median of $37.81.
Bills $106.72 per claim for 99212 (Office/outpatient visit, low complexity) — 4.3× the national median of $25.06.
Billing above the 90th percentile for 11 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Compared to Substance Abuse Rehabilitation Facility Peers
Total spending distribution among 20 providers in this specialty
This provider's total spending of $191.8M is at the 90th percentile among 20 Substance Abuse Rehabilitation Facility providers.
Above 90th percentile for this specialty — higher spending than 18 of 20 peers
Total Paid
$191.8M
$191,804,343
Total Claims
1.4M
Beneficiaries
311K
4.7 claims/patient
Avg Cost/Claim
$132
#485 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Samaritan Daytop Village Inc. is a Substance Abuse Rehabilitation Facility provider based in Richmond Hill, NY. From the 2018–2024 period, this provider received $191.8M in Medicaid payments across 1.4M claims.
Why This Matters
This provider received $191.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 23,975 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (H2036 (Alcohol/drug treatment, per hour)) accounts for 29% of total spending.
$56.6M
366K claims
$154.73
$253.79
Alcohol/drug treatment, per hour
$56.6M
366K claims · 29.5%
$56.5M
271K claims
$208.81
$73.29
Medication-assisted treatment, opioid use disorder, per month
$56.5M
271K claims · 29.5%
$46.7M
359K claims
$130.29
$130.29
Medicaid certified CCBHC services
$46.7M
359K claims · 24.4%
Psychotherapy, 30 minutes
$8.3M
76K claims · 4.3%
Psychotherapy, 45 minutes
$5.3M
36K claims · 2.7%
$5.2M
190K claims
$27.22
$18.95
Alcohol/drug services; methadone administration
$5.2M
190K claims · 2.7%
Group psychotherapy
$4.4M
78K claims · 2.3%
$1.3M
928 claims
$1,389.41
$266.41
Assertive community treatment, face-to-face, per 15 minutes
$1.3M
928 claims · 0.7%
Psychiatric diagnostic evaluation
$1.2M
6K claims · 0.6%
$894K
8K claims
$108.42
$135.70
Intensive outpatient psychiatric services, per diem
$894K
8K claims · 0.5%
$848K
6K claims
$131.08
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$848K
6K claims · 0.4%
$776K
7K claims
$115.32
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$776K
7K claims · 0.4%
$769K
13K claims
$58.62
$55.04
Self-help/peer services, per 15 minutes
$769K
13K claims · 0.4%
Alcohol and/or drug assessment
$764K
5K claims · 0.4%
$654K
6K claims
$106.72
$25.06
Office/outpatient visit, low complexity
$654K
6K claims · 0.3%
$368K
7K claims
$49.59
$74.63
Behavioral health counseling & therapy, per 15 min
$368K
7K claims · 0.2%
$294K
2K claims
$121.13
$74.09
Office/outpatient visit, high complexity
$294K
2K claims · 0.2%
$220K
2K claims
$125.16
$57.85
Office/outpatient visit, new patient, low-mod complexity
$220K
2K claims · 0.1%
Psychotherapy, 45 min, add-on to E/M
$137K
1K claims · 0.1%
$126K
1K claims
$123.68
$40.11
Office/outpatient visit, new patient, low complexity
$126K
1K claims · 0.1%
$85K
835 claims
$101.82
$76.61
Family psychotherapy without patient, 50 min
$85K
835 claims · 0.0%
$80K
2K claims · 0.0%
$67K
326 claims
$206.79
$77.33
Family psychotherapy with patient, 50 min
$67K
326 claims · 0.0%
$50K
1K claims · 0.0%
$36K
550 claims
$65.61
$38.83
Psychotherapy, 30 min, add-on to E/M service
$36K
550 claims · 0.0%
$35K
309 claims
$112.95
$76.06
Preventive medicine, established patient, age 40-64
$35K
309 claims · 0.0%
$28K
326 claims
$86.20
$27.38
Office/outpatient visit, new patient, straightforward
$28K
326 claims · 0.0%
$14K
263 claims
$52.12
$47.35
Alcohol and/or drug services, group counseling
$14K
263 claims · 0.0%
$13K
99 claims
$132.51
$87.82
Preventive visit, new patient, 40-64 yr
$13K
99 claims · 0.0%
$12K
69 claims · 0.0%
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