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

Why is the Medicaid comparison limited to Idaho 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. Idaho (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.

A New Leaf, Inc. (NPI 1114063344)

Field	Value
Entity Type	Organization
Organization	A New Leaf, Inc.
Address	2548 N Stokesberry Pl
City	Meridian
State	ID
ZIP	83646
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 29, 2007

Payer Source	Total Paid
Medicaid	$29.5M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only biller: there is no Medicare billing on file while lifetime Medicaid revenue totals $29.5M, indicating the organization’s scale and payer mix are dominated by state Medicaid programs rather than Medicare. Analysts should treat A NEW LEAF, INC. as a single-payer (Medicaid-focused) operation for most competitive and reimbursement analyses.

Medicaid revenue is highly concentrated: the top three Medicaid codes (H2016, H0004, H2019) together account for 97.8% of the provider’s total Medicaid revenue. In dollar terms those top three are H2016 $23.1M (78.4% of total Medicaid revenue), H0004 $4.3M (14.6%), and H2019 $1.4M (4.7%), leaving very little revenue outside this narrow set of services.

The code mix and taxonomy point to a day‑program and behavioral support model focused on developmental disabilities: H2016 (Comprehensive community support services, per diem) is the primary revenue driver, supported by high-volume therapeutic service codes H0004 (behavioral health counseling, per 15 minutes) and H2019 (therapeutic behavioral services, per 15 minutes). High claim counts and per-claim payments underline this operational focus — H2016 has 39.8K claims at $581 avg paid/claim, H0004 has 19.9K claims at $217 avg paid/claim, and H2019 has 8.8K claims at $159 avg paid/claim — consistent with per‑diem day services plus time‑based behavioral therapy.

A NEW LEAF, INC. is a dominant statewide provider for its primary per‑diem service: H2016 ranks #1 of 6 providers in-state and is in the 100th percentile, described as notably above typical state volume for this code. For the secondary therapeutic codes the provider ranks above median but not dominant — H0004 ranks #26 of 157 (84th percentile) and H2019 ranks #10 of 60 (85th percentile) — suggesting solid but not exclusive market share in those time‑based therapy lines.

Business and reimbursement sensitivity is concentrated in a single service line: because H2016 alone accounts for $23.1M and 78.4% of Medicaid revenue, changes to per‑diem rates, eligibility, or program rules for comprehensive community support services would materially affect overall revenue. The provider’s financial performance should be modeled with scenarios focused on H2016 rate and utilization shifts given that the remainder of revenue is comparatively small.

Beyond the top three, remaining billed services are a small share of revenue and indicate limited diversification: 96152 contributes $427.3K (1.4%), T1001 contributes $94.9K (0.3%), and T1027 contributes $72.7K (0.2%) of total Medicaid revenue. These smaller lines (and other low-volume CPT/HCPCS codes listed) suggest supplemental clinical and assessment activities but do not materially change the provider’s dependence on the top three codes.

The provider has longstanding enrollment and an established local presence: NPI enumerated 2007-01-29 (~19 years ago), which combined with the #1 statewide ranking on H2016 implies an entrenched role in delivering community support services within Meridian, ID. That tenure supports continuity of service delivery and may reflect stable referral relationships with state Medicaid programs and managed care plans.

The absence of Medicare billing on file indicates A NEW LEAF, INC. operates almost entirely within the Medicaid ecosystem rather than serving Medicare beneficiaries; analysts should not rely on Medicare claims data to understand this provider’s activity and should instead prioritize Medicaid policy, waiver, and managed‑care dynamics when evaluating growth or contracting opportunities.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	39,840	$580	$23.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	19,920	$220	$4.3M
H2019	Therapeutic behavioral services, per 15 minutes	8,800	$160	$1.4M
96152	N/A	2,810	$150	$427.3K
T1001	Nursing assessment / evaluation	1,980	$50	$94.9K
T1027	Family training and counseling for child development, per 15 minutes	1,480	$50	$72.7K
90834	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…	700	$30	$23.9K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	100	$60	$6.6K
T2024	Service assessment/plan of care development, waiver	520	$10	$6.2K
96150	N/A	20	$250	$6.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

A New Leaf, Inc. — 1 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	1	10	2,910	$1,720	$17.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	26	160	4,020	$140	$1.6M
H2019	Therapeutic behavioral services, per 15 minutes	10	60	2,960	$120	$609.8K
96152	N/A	33	70	2,270	$80	$608.8K
90834	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…	210	410	740	$60	$174.3K
T1001	Nursing assessment / evaluation	7	50	260	$60	$77K
T1027	Family training and counseling for child development, per 15 minutes	19	40	1,050	$40	$66.8K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	94	150	210	$80	$52.7K
T2024	Service assessment/plan of care development, waiver	3	20	270	$120	$42.3K
96150	N/A	13	20	80	$70	$15K

Nearby Providers

Other providers in the same ZIP code as A New Leaf, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Idaho Surgery Center PLLC	ID	Ambulatory Surgical Clinic/Center	$0	$5.3M
A Helping Hand In Home Care	ID	In Home Supportive Care Agency	$0	$3.6M
Dental Care For Kids	ID	Pediatric Dentistry	$0	$3.1M
Watchdog LLC	ID	Emergency Response System Companies	$0	$2.4M
Idaho Transition Care, LLC	ID	Case Management Agency	$0	$2.1M
Small Talk Speech & Language Services	ID	Speech-Language Pathologist	$0	$1.8M
D&g Medical Associates PLLC	ID	Family Medicine Physician	$0	$1.3M
Capitol Healthcare, Inc.	ID	In Home Supportive Care Agency	$0	$1.3M
Mountain Pine Dermatology, PLLC	ID	Dermatology Physician	$0	$1.2M
Idaho Dental Anesthesia PLLC	ID	Dental Anesthesiology	$0	$1.2M

A New Leaf, Inc. — Billing Profile & Reimbursement Data

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A New Leaf, Inc. — 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