Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Virginia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

New Hope Wellness, LLC (NPI 1013551134)

Field	Value
Entity Type	Organization
Organization	New Hope Wellness, LLC
Address	11 S 12th St # 302
City	Richmond
State	VA
ZIP	23219
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 31, 2019

Payer Source	Total Paid
Medicaid	$13M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9482	Family stabilization services, per 15 minutes	10,060	$570	$5.8M
H2011	Crisis intervention service, per 15 minutes	3,850	$910	$3.5M
H0046	Mental health services, not otherwise specified	15,470	$150	$2.4M
H2019	Therapeutic behavioral services, per 15 minutes	2,220	$560	$1.2M
S9485	Crisis intervention mental health services, per diem	360	$440	$158K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	40	$40	$1.5K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Virginia Distribution

New Hope Wellness, LLC — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0046	Mental health services, not otherwise specified	135	510	6,100	$190	$2.8M
S9482	Family stabilization services, per 15 minutes	3	180	650	$1,070	$1.7M
H2019	Therapeutic behavioral services, per 15 minutes	44	120	1,100	$610	$1.7M
H2011	Crisis intervention service, per 15 minutes	10	230	360	$1,290	$1.1M
S9485	Crisis intervention mental health services, per diem	22	80	120	$800	$250.5K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	165	230	120	$120	$108.5K

Nearby Providers

Other providers in the same ZIP code as New Hope Wellness, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Richmond Behavioral Health Authority	VA	Community/Behavioral Health Agency	$0	$129.2M
True Family Services LLC	VA	Community/Behavioral Health Agency	$0	$20.7M
Intensive Community Outreach Services LLC	VA	Preferred Provider Organization	$0	$20.3M
Hands Of Unity Mental Health Skill Building	VA	Community/Behavioral Health Agency	$0	$10.4M
Tender Love And Care, LLC	VA	In Home Supportive Care Agency	$0	$8.4M
Family Arizen Corp	VA	Community/Behavioral Health Agency	$0	$6.7M
Virginia Department Of Health	VA	Public Health or Welfare Agency	$0	$6.6M
Marcs Agency LLC	VA	Community/Behavioral Health Agency	$0	$6.3M
Dominion Medical Associates, Inc	VA	Internal Medicine Physician	$0	$6.3M
A Better Path Support Services	VA	Community/Behavioral Health Agency	$0	$6.1M

New Hope Wellness, LLC — Billing Profile & Reimbursement Data

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New Hope Wellness, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References