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    OpenPayerNPI Medicare & MedicaidNu-way House Inc
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    Nu-way House Inc — Billing Profile & Reimbursement Data

    NPI 1265515639 · Minneapolis, MN · Substance Abuse Rehabilitation Facility

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    Nu-way House Inc is a substance abuse rehabilitation facility provider located in Minneapolis, Minnesota. This profile covers 0 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNu-way House Inc
    Address2217 Nicollet Ave
    CityMinneapolis
    StateMN
    ZIP55404
    TaxonomySubstance Abuse Rehabilitation Facility
    NPI EnumeratedOctober 22, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$200.8M
    Medicare$0

    Key Findings

    NU-WAY HOUSE INC is effectively a single-payer Medicaid operator: there is no Medicare billing on file and the provider reports $200.8M in total Medicaid revenue, indicating Medicaid is the dominant — effectively sole — public payer in the dataset for this entity. This concentration in a single payer should shape comparisons and benchmarking toward Medicaid-funded substance use services rather than mixed Medicare/Medicaid profiles.

    Revenue is extremely concentrated in a very small set of service codes: the top 3 Medicaid codes account for 99.6% of this provider's total Medicaid revenue. In particular, H2035 generates $174.3M (86.8% of Medicaid revenue), H2036 generates $23.7M (11.8%), and H0001 generates $1.9M (0.9%), which together explain almost all reported Medicaid receipts.

    The code mix identifies NU-WAY HOUSE INC as a high-volume substance use treatment provider focused on program-based treatment billing: H2035 (Alcohol and/or other drug treatment program, per hour) and H2036 (…per diem) are the clear operational core, and H0001 (Alcohol and/or drug assessment) supports intake/diagnostic activity. Ancillary codes such as T1016 (case management) and H0038 (self-help/peer services) appear in the mix at much lower revenue shares, indicating complementary outpatient or wraparound services rather than primary revenue drivers.

    NU-WAY’s scale on H2035 is outsized within Minnesota: H2035 is reported at 1.3M claims, $134 avg paid/claim and $174.3M revenue and it ranks #1 of 276 providers in-state (100th percentile; labeled an extreme outlier). That rank and label indicate NU-WAY is a dominant statewide provider for hourly alcohol/other drug treatment program billing and operates at volumes far above typical state peers for this code.

    H2036 and H0001 show different competitive signals: H2036 (13.7K claims, $1730 avg paid/claim, $23.7M revenue) ranks #9 of 122 providers in-state (93th percentile; characterized as typical, unremarkable volume), while H0001 (14.6K claims, $129 avg paid/claim, $1.9M revenue) ranks #3 of 191 providers in-state (99th percentile; labeled an extreme outlier). Together these positions imply NU-WAY is both a major assessor and a uniquely large hourly treatment program, even as its per-diem activity (H2036) is more comparable to other mid-to-high-tier peers.

    Operational scale is evident from claim counts and unit economics on the top code: 1.3M claims for H2035 with a $134 avg paid/claim producing $174.3M of revenue signals a highly standardized, high-throughput delivery model (hourly program billing) that drives the vast majority of Medicaid dollars for the entity. Such volume implies extensive service capacity and operational processes oriented to high-volume program billing rather than episodic, low-frequency interventions.

    Smaller service lines are present but contribute minimally to revenue: T1016 (39K claims, $12 avg paid/claim, $467.4K revenue) and H0038 (18.3K claims, $21 avg paid/claim, $385.2K revenue) each account for roughly 0.2% of Medicaid revenue and rank in the mid-to-high percentiles in-state (T1016: #41 of 236, 83th percentile; H0038: #9 of 128, 94th percentile). 90791 psychiatric evaluations are marginal to the financial profile (402 claims, $57 avg paid/claim, $22.9K revenue; #132 of 496, 74th percentile) but indicate the provider bills at least some clinical assessment services alongside program hours and per diem stays.

    NU-WAY’s NPI tenure (enumerated 2006-10-22, ~20 years ago) signals an established presence in the market; combined with the extreme outlier rankings on core codes, this longevity supports a conclusion that the provider has built substantial, sustained capacity in Medicaid-funded substance use treatment services in Minnesota. Given the heavy revenue dependence on a narrow set of codes (notably H2035 at 86.8% and H2036 at 11.8%), changes in program volume, eligibility, or reimbursement for those codes would disproportionately affect the provider’s financial profile.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2035Alcohol and/or other drug treatment program, per hour1,300,690$130$174.3M
    H2036Alcohol and/or other drug treatment program, per diem13,700$1,730$23.7M
    H0001Alcohol and/or drug assessment14,610$130$1.9M
    T1016Case management, each 15 minutes38,950$10$467.4K
    H0038Self‑help/peer services, per 15 minutes18,350$20$385.2K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.400$60$22.9K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Minnesota median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2036Alcohol and/or other drug treatment program, per diem91202,540$1,210$5.7M
    H2035Alcohol and/or other drug treatment program, per hour12805,980$120$3M
    T1016Case management, each 15 minutes412401,870$50$1.9M
    H0038Self‑help/peer services, per 15 minutes91301,640$80$599.5K
    H0001Alcohol and/or drug assessment3190220$140$158.2K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.13250090$120$124.6K

    Nearby Providers

    Other providers in the same ZIP code as Nu-way House Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Childrens Health CareMNChildren's Hospital$0$100M
    Midwest Home Health Care, Inc.MNHome Health Agency$0$73.5M
    Midwest Quality Home Care, Inc.MNHome Health Agency$0$66.7M
    Regents Of The University Of MinnesotaMNFederally Qualified Health Center (FQHC)$0$55.2M
    Minnesota Professional Health Services,incMNHome Health Agency$0$51.9M
    Park Ave Center IncMNSubstance Use Disorder Rehabilitation Clinic/Center$0$50.8M
    Minnesota Quality Care, Inc.MNHome Health Agency$0$48.4M
    Direct Home Health Care, Inc.MNHome Health Agency$0$30.7M
    Aaa A-z Friendly Languages IncMNInterpreter$0$29.4M
    Comfort Services LLCMNHome Health Agency$0$29.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Minnesota Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Minnesota Distribution
    Nu-way House Inc — 2 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota