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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

The New Beginnings LLC (NPI 1194859306)

Field	Value
Entity Type	Organization
Organization	The New Beginnings LLC
Address	6200 Seagull St Ne Ste F
City	Albuquerque
State	NM
ZIP	87109
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	March 16, 2007

Payer Source	Total Paid
Medicaid	$85.1M
Medicare	$0

Key Findings

THE NEW BEGINNINGS LLC shows no Medicare billing on file and has $85.1M in lifetime Medicaid revenue, making it effectively a single‑payer (Medicaid) billing entity in the available data. This concentration on Medicaid shapes its operational and competitive profile and means Medicare-facing service lines are not present in the claims record.

Revenue is highly concentrated: the top three Medicaid codes (T2016, T2033, H2021) account for 94.1% of this provider's total Medicaid revenue. Individually those codes are T2016: $37.2M (43.7%), T2033: $22.6M (26.5%), and H2021: $20.3M (23.9%), indicating the vast majority of billings are tied to a narrow set of residential and wrap‑around service lines.

The provider’s taxonomy (Adult Day Care Clinic/Center) combined with its top codes suggests an operational focus on residential habilitation and community wrap‑around support: T2016 is habilitation, residential, waiver (per diem); T2033 is residential care, waiver (per diem); and H2021 is community‑based wrap‑around services (per 15 minutes). This mix implies the business model centers on long‑duration/residential supports and coordinated community services rather than short episodic clinical encounters.

Competitive standing by code is modest rather than dominant statewide. T2016 ranks #10 of 40 providers (77th percentile) and is described as typical/unremarkable volume, while T2033 ranks #21 of 39 (47th percentile) and H2021 ranks #22 of 62 (66th percentile), so the provider generates substantial Medicaid revenue overall but does not consistently lead the state in volume for these individual codes.

Payment characteristics differ notably across the top codes: T2016 (per diem) shows a $438 avg paid/claim, while T2033 (per diem) reports $2148 avg paid/claim and H2021 (per 15 minutes) reports $1912 avg paid/claim. These differences suggest variation in per‑claim payment levels and/or aggregated billed units across residential versus wrap‑around services, indicating materially different revenue per claim profiles within the provider's core services.

Beyond the top three, the provider bills smaller but relevant Medicaid lines—S5125 (attendant care) at $3.1M (3.6%), T1002 (RN services) at $1.1M (1.3%), and smaller amounts for respite and day habilitation—showing a broader service set that contributes only marginally to total revenue. This pattern indicates ancillary care and nursing services exist alongside the dominant residential/waiver revenue streams but are not material drivers of total Medicaid revenue.

The provider’s NPI was enumerated on 2007-03-16 (~19 years ago), indicating a long tenure in the market that likely supports established payer relationships and operational experience in waiver/residential program billing. The sustained presence aligns with the sizable cumulative Medicaid revenue even though the provider’s code‑level market positions are generally typical for the state.

All of the provider’s top codes are labeled in the source as typical or unremarkable in volume for the state; none are flagged as extreme outliers. In plain terms, while THE NEW BEGINNINGS LLC is a substantial Medicaid revenue generator overall, its per‑code volumes fall within expected state distributions rather than representing outlier behavior.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	84,890	$440	$37.2M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	10,520	$2,150	$22.6M
H2021	Community-based wrap-around services, per 15 minutes	10,640	$1,910	$20.3M
S5125	Attendant care services; per 15 minutes	5,740	$540	$3.1M
T1002	Rn services, up to 15 minutes	2,410	$470	$1.1M
T1005	Respite care services, up to 15 minutes	1,990	$200	$397.6K
T2021	Day habilitation, waiver; per 15 minutes	570	$700	$395.1K
T1003	Lpn/lvn services, up to 15 minutes	150	$150	$21.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

The New Beginnings LLC — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	10	40	54,080	$360	$22.1M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	21	40	11,070	$280	$10.8M
H2021	Community-based wrap-around services, per 15 minutes	22	60	6,750	$340	$4.4M
S5125	Attendant care services; per 15 minutes	33	50	10,600	$100	$4.3M
T2021	Day habilitation, waiver; per 15 minutes	48	50	6,810	$120	$1.6M
T1005	Respite care services, up to 15 minutes	7	10	2,760	$160	$906.3K
T1002	Rn services, up to 15 minutes	12	40	1,350	$150	$368.7K
T1003	Lpn/lvn services, up to 15 minutes	8	10	1,040	$120	$150.7K

Nearby Providers

Other providers in the same ZIP code as The New Beginnings LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Presbyterian Healthcare Services	NM	Internal Medicine Physician	$0	$240.8M
Heritage Home Healthcare Services, Inc.	NM	Home Health Agency	$0	$141.5M
Home Medical Equipment Specialists LLC	NM	Durable Medical Equipment & Medical Supplies	$0	$100M
We Care Agency, Inc.	NM	In Home Supportive Care Agency	$0	$60.1M
Lovelace Health System, LLC	NM	General Acute Care Hospital	$0	$57.7M
Adelante Development Center, Inc.	NM	Personal Care Attendant	$0	$57M
Eye Associates Of New Mexico Ltd	NM	Ophthalmology Physician	$0	$46.9M
Southwest Labs LLC	NM	Clinical Medical Laboratory	$1.1M	$41.5M
Southwest Medical Associates, LLC	NM	General Practice Physician	$0	$41.4M
Tspc-nm, LLC	NM	Nursing Care Agency	$0	$28.9M

The New Beginnings LLC — Billing Profile & Reimbursement Data

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The New Beginnings 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