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 Horizons Behavioral Health (NPI 1275194946)

Field	Value
Entity Type	Organization
Organization	New Horizons Behavioral Health
Address	4848 N Goldwater Blvd
City	Scottsdale
State	AZ
ZIP	85251
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	June 24, 2019

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	1,410	$1,240	$1.8M
H2017	Psychosocial rehabilitation services, per 15 minutes	2,450	$640	$1.6M
H2014	Skills training and development, per 15 minutes	1,670	$640	$1.1M
H2027	Psychoeducational service, per 15 minutes	440	$2,390	$1.1M
T1016	Case management, each 15 minutes	1,740	$310	$541.9K
H0038	Self‑help/peer services, per 15 minutes	750	$680	$510.1K
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…	1,040	$450	$462.6K
H2016	Comprehensive community support services, per diem	250	$1,400	$351.1K
H0031	Mental health assessment, by non-physician	50	$190	$10.5K
H0001	Alcohol and/or drug assessment	20	$40	$600

Showing 1–10 of 11

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 Horizons Behavioral Health — 0 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	141	280	1,040	$460	$2.2M
T1016	Case management, each 15 minutes	607	1,160	2,110	$30	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	614	1,150	1,700	$90	$1M
H2017	Psychosocial rehabilitation services, per 15 minutes	56	270	600	$410	$983.9K
H2016	Comprehensive community support services, per diem	225	290	840	$280	$890.1K
H2014	Skills training and development, per 15 minutes	386	780	1,610	$100	$868.2K
H2027	Psychoeducational service, per 15 minutes	299	500	750	$170	$592.2K
H0038	Self‑help/peer services, per 15 minutes	340	580	1,250	$80	$479.7K
H0031	Mental health assessment, by non-physician	597	810	280	$120	$360.5K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	311	370	110	$20	$47.2K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Smi Imaging, LLC	AZ	Diagnostic Radiology Physician	$0	$90.4M
Honorhealth	AZ	General Acute Care Hospital	$0	$47M
Southwest Diagnostic Imaging LLC	AZ	Diagnostic Radiology Physician	$0	$23.8M
Kssw Inc	AZ	In Home Supportive Care Agency	$0	$17.9M
Head To Toe Therapy Inc	AZ	Children's Hospital	$0	$11.6M
Ch Mh Services (az), LLC	AZ	Adolescent and Children Mental Health Clinic/Center	$0	$10.1M
Circular Valley Care LLC	AZ	Private Vehicle	$0	$9M
Hope Light Homecare LLC	AZ	PACE Provider Organization	$0	$7.9M
Michael Manning	AZ	Allergy & Immunology Physician	$4.6M	$0
Brian Lee	AZ	Otolaryngology/Facial Plastic Surgery Physician	$1.6M	$0

New Horizons Behavioral Health — Billing Profile & Reimbursement Data

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New Horizons Behavioral Health — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References