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

Why is the Medicaid comparison limited to Ohio 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. Ohio (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 Horizons Mental Health Services, Inc. (NPI 1174576680)

Field	Value
Entity Type	Organization
Organization	New Horizons Mental Health Services, Inc.
Address	2652 Kull Rd
City	Lancaster
State	OH
ZIP	43130
Taxonomy	Mental Health Counselor
NPI Enumerated	May 18, 2006

Payer Source	Total Paid
Medicaid	$12.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	37,510	$90	$3.3M
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…	31,370	$90	$2.9M
H2019	Therapeutic behavioral services, per 15 minutes	25,450	$100	$2.6M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	28,270	$40	$1.2M
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…	6,710	$60	$409.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,580	$100	$343.3K
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…	5,170	$60	$330.6K
H2017	Psychosocial rehabilitation services, per 15 minutes	4,340	$70	$286.7K
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…	2,640	$100	$272.2K
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…	5,870	$40	$246.7K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

New Horizons Mental Health Services, Inc. — 3 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	115	840	240	$90	$1.8M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	82	740	480	$60	$669.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	69	240	1,090	$50	$509.2K
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…	73	2,640	620	$90	$408.2K
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…	154	4,510	500	$60	$377.8K
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…	986	5,080	560	$40	$323.9K
H0006	Alcohol and/or drug services; case management	596	710	520	$50	$307.3K
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…	24	140	140	$160	$266.4K
90839	In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…	46	80	430	$120	$173.9K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	501	700	210	$60	$154.1K

Showing 1–10 of 25

Related Providers

Other providers that share a Tax Identification Number (TIN) with New Horizons Mental Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Katelyn Boldon	OH	Psychiatric/Mental Health Nurse Practitioner	$22.9K	$0

Nearby Providers

Other providers in the same ZIP code as New Horizons Mental Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fairfield Medical Center	OH	General Acute Care Hospital	$0	$38.7M
Spinal Technology And Pain Center Inc	OH	Addiction Medicine (Family Medicine) Physician	$0	$23.7M
Fairhope Hospice & Palliative Care Inc	OH	Community Based Hospice Care Agency	$0	$11.8M
Grannies Cooked Delivered Meals LLC	OH	Home Delivered Meals	$0	$11.6M
Mid-ohio Psychological Services Inc	OH	Counselor	$0	$9.4M
Interim Healthcare Of Columbus, Inc	OH	Home Health Agency	$0	$9M
Jonathan W. Draney, Dds, LLC	OH	Dentist	$0	$8.7M
Lancaster Dental Partners LLP	OH	General Practice Dentistry	$0	$8.3M
Fairfield Community Health Center	OH	Federally Qualified Health Center (FQHC)	$0	$7.1M
City Auditor	OH	Ambulance	$418.4K	$1.2M

New Horizons Mental Health Services, Inc. — Billing Profile & Reimbursement Data

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New Horizons Mental Health Services, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References