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 Louisiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Louisiana 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. Louisiana (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 Day Recovery, LLC (NPI 1043560808)

Field	Value
Entity Type	Organization
Organization	New Day Recovery, LLC
Address	1416 Natchitoches St.
City	West Monroe
State	LA
ZIP	71291
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	September 19, 2012

Payer Source	Total Paid
Medicaid	$59M
Medicare	$0

Key Findings

NEW DAY RECOVERY, LLC is effectively a Medicaid-focused substance use disorder (SUD) treatment provider with no Medicare billing on file; the profile lists total Medicare revenue as none and total Medicaid revenue of $59M, indicating the organization operates almost exclusively in the Medicaid payer channel. This single-payer concentration suggests its referral and reimbursement strategy is heavily oriented to state Medicaid programs rather than Medicare populations.

Revenue is highly concentrated in a single service line: H2036 accounts for $53.2M in revenue and represents 90.1% of the provider’s Medicaid revenue. That dominance of the per-diem alcohol and/or other drug treatment program (H2036) indicates the facility’s primary business is delivering extended residential or per-diem program services rather than brief outpatient encounters.

The top three Medicaid codes together account for 99.3% of the provider’s Medicaid revenue (precomputed), showing an extremely concentrated revenue mix driven almost entirely by a small set of SUD treatment services. This concentration implies limited diversification across other billable service types and suggests operational dependence on the throughput and reimbursement for those core codes.

NEW DAY is a high-volume statewide participant for its largest code: H2036 ranks #3 of 57 providers in Louisiana and is described as notably above typical state volume (96th percentile). That rank and percentile position the provider as one of the leading in-state deliverers of per-diem SUD program services, making it a major competitor in residential or per-diem addiction treatment within Louisiana.

For H0015 (intensive outpatient services), the provider also reports elevated activity: 54.5K claims, $4.7M revenue, and an in-state rank of #4 of 128 providers (98th percentile) which is noted as notably above typical state volume. This pattern indicates the organization operates substantial intensive outpatient programming in addition to its per-diem residential services, supporting a mixed-model of residential and intensive outpatient care.

By contrast, H0011 (acute detoxification inpatient) is a much smaller revenue contributor ($661.2K, 1.1% of Medicaid revenue) and ranks #24 of 37 providers (36th percentile), described as typical and unremarkable. This suggests that while the provider offers detoxification services, detox is not a core revenue driver and is a relatively modest part of its service mix compared with per-diem residential and intensive outpatient offerings.

The provider’s claims mix includes some routine outpatient E/M and behavioral health service codes (e.g., 99213, 99212, and 90792), but these together make up only a small fraction of Medicaid revenue (each listed with revenues under $110K). Their presence indicates some level of ambulatory evaluation and psychotherapy services exist alongside the dominant SUD program billing, but they are secondary to the large per-diem and intensive outpatient streams.

NEW DAY RECOVERY’s NPI was enumerated in 2012-09-19 (~14 years ago), indicating more than a decade of enrollment and operational history in the Medicare/Medicaid provider directories. That tenure supports the likelihood of established referral relationships and operational stability within the Medicaid network, consistent with its high-volume state rankings for core SUD codes.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	278,370	$190	$53.2M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	54,490	$90	$4.7M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	2,510	$260	$661.2K
H0001	Alcohol and/or drug assessment	3,790	$50	$185.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	4,080	$30	$106.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	4,050	$20	$89.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	410	$40	$15.9K
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…	160	$70	$10.3K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	80	$30	$2.6K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	160	$10	$1.4K

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Louisiana Distribution

New Day Recovery, LLC — 3 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. Louisiana median

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	3	60	42,430	$150	$11.3M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	24	40	3,520	$150	$1.4M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	4	130	2,290	$90	$928.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,835	2,890	980	$40	$246.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	917	3,230	1,120	$30	$204.3K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	732	1,170	160	$80	$102.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	217	1,460	440	$20	$64K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	881	910	440	$40	$61.6K
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…	208	390	180	$50	$49.5K
H0001	Alcohol and/or drug assessment	3	60	210	$30	$31.8K

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with New Day Recovery, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Traci Burks	LA	Psychiatric/Mental Health Nurse Practitioner	$34.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Iasis Glenwood Regional Medical Center LP	LA	General Acute Care Hospital	$0	$15.3M
G B Cooley Hospital Services/pca	LA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$14.9M
Heber Tuft	LA	Pediatric Dentistry	$0	$7.6M
Ed Physicians Of West Louisiana, LLC	LA	Emergency Medicine Physician	$0	$7.4M
West Monroe Pediatrics, LLC	LA	Pediatric Dentistry	$0	$5M
Ruben Grigorian	LA	Ophthalmology Physician	$2.4M	$57.1K
Surgery Center Of West Monroe, LLC	LA	Ambulatory Surgical Clinic/Center	$1.1M	$271K
Allied Labs LLC	LA	Clinical Medical Laboratory	$805.8K	$74.7K
Samer Roy	LA	Specialist	$312.8K	$530.2K
Assad Mouhaffel	LA	Cardiovascular Disease Physician	$479.8K	$0

New Day Recovery, LLC — Billing Profile & Reimbursement Data

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New Day Recovery, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References