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

Why is the Medicaid comparison limited to Arizona 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. Arizona (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 Horizon Youth Homes (NPI 1053635599)

Field	Value
Entity Type	Organization
Organization	New Horizon Youth Homes
Address	4625 S Ash Ave Ste J-2
City	Tempe
State	AZ
ZIP	85282
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 25, 2010

Payer Source	Total Paid
Medicaid	$61.5M
Medicare	$0

Key Findings

NEW HORIZON YOUTH HOMES is effectively a single-payer Medicaid provider: there is no Medicare billing on file and all reported program revenue is Medicaid-based, totaling $61.5M. This makes the organization highly dependent on state Medicaid policy and reimbursement rates for its financial performance.

Revenue is highly concentrated in a very small set of service codes: the top three Medicaid codes account for 86.3% of the provider's total Medicaid revenue. Most notably, H2014 alone represents $44.8M (72.8% of Medicaid revenue), indicating that a single service line dominates the revenue base.

The code mix identifies the organization as a community/behavioral health operator focused on skills training and related psychosocial supports: H2014 (Skills training and development) and H2027 (Psychoeducational service) together with T1016 (Case management) make up the dominant services billed. These codes suggest day-program or community-based habilitation and intensive case management are the provider’s core offerings rather than medical or physician-led care.

H2014 billing is an extreme outlier in-state: the provider reports 181.4K claims and $44.8M revenue for H2014 and ranks #5 of 783 providers in Arizona (99th percentile; extreme outlier, far above typical state volume for this code). That ranking signals market dominance in delivering skills training services within the state and suggests the organization is a major destination for that specific Medicaid benefit.

T1016 (Case management) and H2027 (Psychoeducational service) are material but much smaller revenue contributors: T1016 generated $5.6M (9.1% of Medicaid revenue) on 180.5K claims and ranks #47 of 1157 (96th percentile), and H2027 generated $2.7M (4.4% of Medicaid revenue) on 10K claims and ranks #52 of 498 (90th percentile). Both codes are described as typical, unremarkable volumes relative to peers despite their elevated ranks, indicating the organization’s unique scale is concentrated primarily in H2014 rather than across a broad mix of behavioral services.

Several ancillary service lines support the core operation: non-emergency transportation codes S0215 (54.1K claims, $2.3M revenue, 90th percentile) and A0120 (53.6K claims, $804K revenue, 90th percentile) show a sizable transportation component, and H0004 (behavioral health counseling) and H2017 (psychosocial rehabilitation) each contribute smaller but noticeable revenue. These patterns are consistent with a community behavioral health model that combines direct skills training with transportation and therapeutic supports to maintain client engagement.

The provider’s reliance on H2014 creates operational and reimbursement concentration risk: with 72.8% of Medicaid revenue coming from one code and the top three codes totaling 86.3% of revenue, any policy, rate, or authorization change affecting H2014 would disproportionately impact overall revenue. Analysts should flag sensitivity to program changes and consider the stability of the H2014 benefit when projecting future revenues.

NEW HORIZON YOUTH HOMES has an established presence in the market, with its NPI enumerated on 2010-03-25 (~16 years ago), which aligns with its large cumulative Medicaid volumes and high statewide rankings for several codes. That tenure supports the interpretation that the current billing profile reflects sustained operational focus rather than a short-term billing anomaly.

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
H2014	Skills training and development, per 15 minutes	181,370	$250	$44.8M
T1016	Case management, each 15 minutes	180,460	$30	$5.6M
H2027	Psychoeducational service, per 15 minutes	10,040	$270	$2.7M
S0215	Non-emergency transportation; mileage, per mile	54,060	$40	$2.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	22,870	$100	$2.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	3,660	$560	$2.1M
S5110	Home care training, family; per 15 minutes	14,160	$60	$906K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	53,600	$20	$804K
H0031	Mental health assessment, by non-physician	430	$130	$54.8K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arizona Distribution

New Horizon Youth Homes — 2 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	47	1,160	2,110	$30	$1.2M
S0215	Non-emergency transportation; mileage, per mile	49	510	4,610	$40	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	140	1,150	1,700	$90	$1M
H2017	Psychosocial rehabilitation services, per 15 minutes	38	270	600	$410	$983.9K
H2014	Skills training and development, per 15 minutes	5	780	1,610	$100	$868.2K
H2027	Psychoeducational service, per 15 minutes	52	500	750	$170	$592.2K
S5110	Home care training, family; per 15 minutes	24	180	1,530	$70	$374.2K
H0031	Mental health assessment, by non-physician	371	810	280	$120	$360.5K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	53	510	5,500	$10	$267.6K

Nearby Providers

Other providers in the same ZIP code as New Horizon Youth Homes, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tusa Integrated Clinic LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$47.6M
Crisis Preparation And Recovery, Inc	AZ	Community/Behavioral Health Agency	$0	$37.3M
Ulu Care, LLC	AZ	Community Health Clinic/Center	$0	$33.2M
Desert Rain Behavioral Health Services, LLC	AZ	Community/Behavioral Health Agency	$0	$18.1M
Tiger Care LLC	AZ	Respite Care	$0	$15.7M
Newfound Hope LLC	AZ	Community/Behavioral Health Agency	$0	$12.8M
Fountains Of Hope Behavioral Health LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.6M
Northsight Recovery LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.5M
Emblem Healthcare, Inc.	AZ	Home Health Agency	$0	$8.9M
Mohamed Ahmed	AZ	Driver	$0	$8.4M

New Horizon Youth Homes — Billing Profile & Reimbursement Data

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New Horizon Youth Homes — 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