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 Life Wellness Center LLC (NPI 1164013959)

Field	Value
Entity Type	Organization
Organization	New Life Wellness Center LLC
Address	3725 E Roeser Rd Ste 15
City	Phoenix
State	AZ
ZIP	85040
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	February 3, 2021

Payer Source	Total Paid
Medicaid	$66M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-centric provider: it reports $66M in lifetime Medicaid revenue and has no Medicare billing on file. Its NPI was enumerated on 2021-02-03 (~5 years ago), so the organization has been active under this identifier for roughly five years while generating its Medicaid footprint during that period.

Revenue is highly concentrated in a small set of service lines: the precomputed top three Medicaid codes account for 72.3% of this provider's total Medicaid revenue. Specifically, T1016 accounts for $31.9M (48.3% of Medicaid revenue) from 36.2K claims at $882 avg paid/claim, H0038 accounts for $9.3M (14.0%) from 6K claims at $1538 avg paid/claim, and H0015 accounts for $6.6M (10.0%) from 15.5K claims at $425 avg paid/claim.

The code mix points to a community behavioral health and substance-use treatment operation: top codes are T1016 (case management), H0038 (self-help/peer services), and H0015 (intensive outpatient substance-use services), complemented by H2014, H2027, H2017 and crisis-related codes. These services together suggest the provider delivers care pathways spanning active treatment (intensive outpatient), rehabilitation and skills training, and peer/case-management wraparound supports rather than primarily physician-driven medical procedures.

Competitive standing across in-state peers is mixed by service line. For the largest revenue driver, T1016, the provider ranks 187 of 1157 in-state (84th percentile) — described as a typical, unremarkable volume despite generating $31.9M; H0038 ranks 118 of 583 (80th percentile) and is likewise characterized as typical; by contrast H0015 ranks 22 of 283 (93th percentile) indicating a strong presence in intensive outpatient substance-use treatment relative to most peers.

Certain service lines show outsized relative strength beyond the top three: H2017 (psychosocial rehabilitation) generated $3.6M and the provider ranks 10 of 266 (97th percentile), noted as notably above typical state volume for that code. Other codes such as H2027 ($4.2M, 93th percentile) and H2014 ($5.8M, 86th percentile) also appear at relatively high state percentiles, indicating the organization has depth across rehabilitation, skills training, and psychoeducational services.

Reimbursement-per-unit varies materially and helps explain revenue concentration: H0038 carries a high $1538 avg paid/claim but fewer claims (6K), while T1016 has a large claim volume (36.2K) with $882 avg paid/claim, and H0015 has 15.5K claims at $425 avg paid/claim. These differences in avg paid/claim combined with claim volume are a clear driver of why a small set of codes captures 72.3% of revenue.

The provider shows a long tail of small or negligible revenue codes and some anomalous zero-paid codes: H0004, H0001, H0002, and H0031 each contribute only modest amounts (ranging from $58.8K to $139.3K), and codes H2021 and H)015 appear with claims but $0 reported paid revenue. That pattern underscores a concentrated portfolio of billable services plus a set of ancillary or low-revenue activities that do not materially move total Medicaid receipts.

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	36,150	$880	$31.9M
H0038	Self‑help/peer services, per 15 minutes	6,020	$1,540	$9.3M
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…	15,500	$430	$6.6M
H2014	Skills training and development, per 15 minutes	13,030	$450	$5.8M
H2027	Psychoeducational service, per 15 minutes	13,570	$310	$4.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	13,170	$280	$3.6M
H2011	Crisis intervention service, per 15 minutes	4,580	$550	$2.5M
H0030	Behavioral health hotline service	4,580	$410	$1.9M
H0031	Mental health assessment, by non-physician	640	$220	$139.3K
H0004	Behavioral health counseling and therapy, per 15 minutes	490	$120	$58.8K

Showing 1–10 of 14

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 Life Wellness Center LLC — 1 of 12 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2021	Community-based wrap-around services, per 15 minutes	3	10	4,360	$110	$7.1M
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…	22	280	1,040	$460	$2.2M
T1016	Case management, each 15 minutes	187	1,160	2,110	$30	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	829	1,150	1,700	$90	$1M
H2017	Psychosocial rehabilitation services, per 15 minutes	10	270	600	$410	$983.9K
H2014	Skills training and development, per 15 minutes	114	780	1,610	$100	$868.2K
H2011	Crisis intervention service, per 15 minutes	15	140	330	$210	$659.5K
H2027	Psychoeducational service, per 15 minutes	36	500	750	$170	$592.2K
H0030	Behavioral health hotline service	3	10	840	$10	$555.7K
H0038	Self‑help/peer services, per 15 minutes	118	580	1,250	$80	$479.7K

Showing 1–10 of 14

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America	AZ	Clinical Medical Laboratory	$38.5M	$265.9M
Caris Mpi, Inc.	AZ	Clinical Medical Laboratory	$97.4M	$51.7M
Family And Youth Intervention Services	AZ	Community/Behavioral Health Agency	$0	$16.2M
Nebco Associates, Inc.	AZ	Transportation Broker	$0	$11.4M
Central Clinical Labs Incorporated	AZ	Clinical Medical Laboratory	$3.5M	$6.1M
Accupath Diagnostic Laboratories Inc	AZ	Clinical Medical Laboratory	$3.3M	$4.1M
Sahar Samaha	AZ	Anatomic Pathology & Clinical Pathology Physician	$906.4K	$0
Joshua Leonard	AZ	Optometrist	$347.1K	$0
Abida Kadi	AZ	Dermatopathology (Pathology) Physician	$267K	$0
Hema Khurana	AZ	Anatomic Pathology & Clinical Pathology Physician	$235.5K	$0

New Life Wellness Center LLC — Billing Profile & Reimbursement Data

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New Life Wellness 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