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.

Lincoln Nova Vital Recovery Center,llc (NPI 1043780851)

Field	Value
Entity Type	Organization
Organization	Lincoln Nova Vital Recovery Center,llc
Address	4396 Highway 80
City	Ruston
State	LA
ZIP	71270
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	December 5, 2018

Payer Source	Total Paid
Medicaid	$36.8M
Medicare	$0

Key Findings

This provider is effectively single-payer in practice: there is no Medicare billing on file and all documented lifetime government revenue is Medicaid totaling $36.8M. The absence of Medicare activity indicates the organization’s patient and revenue mix is concentrated in state Medicaid programs rather than dual-eligible or Medicare populations.

NPI tenure shows the entity was enumerated (registered) 2018-12-05 (~8 years ago), indicating roughly eight years of recorded operations under this taxonomy and enough time to establish steady Medicaid volume. This registry date supports interpretation of the current billing pattern as an established post-2018 operation rather than a very recent entrant.

Revenue is extremely concentrated in a narrow set of service codes: the precomputed top three Medicaid codes account for 99.8% of total Medicaid revenue, dominated by H2036, H0011, and H0015. Specifically those three lines are H2036 $31.3M (85.1%), H0011 $4.9M (13.2%), and H0015 $561.3K (1.5%), so virtually all Medicaid income is tied to these substance-use treatment modalities.

The code mix and descriptions identify the facility as primarily a residential substance abuse treatment operator: H2036 (per diem alcohol and/or other drug treatment program) is dominant, supported by substantial H0011 (acute detoxification residential inpatient) volume and a much smaller H0015 intensive outpatient component. This pattern is consistent with a service model focused on residential and inpatient detox capacity with limited outpatient throughput.

Competitive standing on H2036 is modest within the state: H2036 ranks #16 of 57 providers and is in the 73th percentile with a label of "typical, unremarkable volume for this code," suggesting the provider is neither a market outlier nor a dominant statewide leader for per-diem residential billing. The facility’s H2036 volume is significant in dollar terms but appears in line with many peers.

For H0011 the provider has a relatively stronger in-state position: H0011 ranks #7 of 37 providers and sits in the 83th percentile (also labeled "typical, unremarkable volume for this code"), indicating above-average detox volume versus peers while still fitting within expected operational norms for residential detox programs. This rank suggests a competitive edge in acute detox capacity compared with most other providers in-state.

H0015 and ancillary codes contribute only a sliver of revenue: H0015 is $561.3K (1.5%) and ranks #49 of 128 (62th percentile), and other billed codes (for example 90792 $50.2K, 87426 $10.8K, 90832 $4.2K, H0004 $3.8K, H0001 $2.7K, 86328 $2.2K) are individually immaterial to overall revenue. These smaller lines indicate the facility bills for expected allied services (psychiatric evaluation, COVID testing, brief psychotherapy, counseling, assessments) but they do not materially diversify the provider’s Medicaid revenue base.

From an operational and payer-risk perspective, the concentration in Medicaid and in per-diem residential/detox codes means the provider’s financial performance will be sensitive to Medicaid reimbursement policy, per-diem rate changes, and denials related to residential placement criteria. Given no Medicare presence and 99.8% of Medicaid revenue tied to three codes, strategic or regulatory shifts affecting H2036 or H0011 would have outsized impact on the organization’s revenue profile.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	102,590	$310	$31.3M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	15,260	$320	$4.9M
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…	5,500	$100	$561.3K
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…	1,050	$50	$50.2K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	980	$10	$10.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	260	$20	$4.2K
H0004	Behavioral health counseling and therapy, per 15 minutes	190	$20	$3.8K
H0001	Alcohol and/or drug assessment	100	$30	$2.7K
86328	The lab analyst performs a single–step immunoassay to qualitatively or semiquantitatively evaluate the patient’s specimen for antibodies to the severe acute respiratory syndrome coronavirus 2…	370	$10	$2.2K

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

Lincoln Nova Vital Recovery Center,llc — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	16	60	42,430	$150	$11.3M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	7	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…	49	130	2,290	$90	$928.9K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	130	390	380	$20	$50.7K
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…	73	390	180	$50	$49.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	34	60	480	$40	$43K
H0001	Alcohol and/or drug assessment	35	60	210	$30	$31.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	327	540	450	$10	$11.7K
86328	The lab analyst performs a single–step immunoassay to qualitatively or semiquantitatively evaluate the patient’s specimen for antibodies to the severe acute respiratory syndrome coronavirus 2…	13	40	150	$20	$7.5K

Nearby Providers

Other providers in the same ZIP code as Lincoln Nova Vital Recovery Center,llc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Louisiana United Methodist Children & Family Services, Inc	LA	Psychiatric Residential Treatment Facility	$0	$99.5M
Pafford Emergency Medical Services, Inc.	LA	Ambulance	$4.6M	$23.2M
People Centered Support Services, Inc.	LA	Community/Behavioral Health Agency	$0	$14.4M
Certicare, Inc	LA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9.8M
Green Clinic LLC	LA	Family Medicine Physician	$0	$9.5M
Peach Tree For Kids - Ruston, LLC	LA	Pediatric Dentistry	$0	$9M
Little Helper's, LLC	LA	Health Maintenance Organization	$0	$7.8M
Winn Community Health Center, Inc.	LA	Federally Qualified Health Center (FQHC)	$0	$7.3M
Clhg-ruston LLC	LA	General Acute Care Hospital	$0	$5.5M
Community Bridges West, Inc.	LA	In Home Supportive Care Agency	$0	$4.7M

Lincoln Nova Vital Recovery Center,llc — Billing Profile & Reimbursement Data

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Lincoln Nova Vital Recovery Center,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

Nearby Providers

Frequently Asked Questions

References