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

Why is the Medicaid comparison limited to Idaho 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. Idaho (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.

Renewed Horizons, LLC (NPI 1346791944)

Field	Value
Entity Type	Organization
Organization	Renewed Horizons, LLC
Address	8252 N Wayne Dr
City	Hayden
State	ID
ZIP	83835
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	October 18, 2016

Payer Source	Total Paid
Medicaid	$19.9M
Medicare	$0

Key Findings

RENEWED HORIZONS, LLC appears to operate primarily as an Intellectual and/or Developmental Disabilities Residential Treatment Facility: its entire reported Medicaid revenue is concentrated in H2022 (Community-based wrap-around services, per diem), which is consistent with facility-level behavioral health and wraparound support services for individuals with developmental or intellectual disabilities. The code mix indicates the organization’s operations focus on per-diem, community-based wraparound care rather than discrete procedure- or visit-based medical services.

This provider has no Medicare billing on file, making its payer mix effectively single-payer with total Medicaid revenue of $19.9M. Because Medicare revenue is recorded as none, all measurable billing activity and financial scale in the available data comes from Medicaid, so analyses of service intensity, utilization, and competitive positioning should be framed in a Medicaid-only context.

Revenue concentration is extremely high: the precomputed top 3 Medicaid codes account for 100.0% of the provider’s total Medicaid revenue, and in practice that revenue is entirely from a single code, H2022 (11.2K claims, $1778 avg paid/claim, $19.9M revenue). This indicates near-complete dependency on one per-diem service line for the entity’s Medicaid income, which heightens sensitivity to rate changes, eligibility shifts, or policy adjustments affecting H2022.

Competitive standing within Idaho for H2022 is modest-to-moderate: the provider ranks #3 of 14 in-state and sits at the 85th percentile for volume on this code. That ranking places the entity among the larger providers for this specific community-based wraparound service in Idaho, but it is not a statewide monopolist — several other providers also contribute materially to H2022 capacity.

The provider’s average paid per claim for H2022 is $1778 on 11.2K claims, suggesting sustained, high-volume per-diem utilization rather than sporadic episodic interventions. This pattern is consistent with residential or day-based wraparound care where clients have extended lengths of stay or frequent billed days, and it signals operational emphasis on long-duration service delivery.

Tenure-wise, the NPI was enumerated on 2016-10-18 (approximately 10 years ago). That duration of enrollment implies several years of established billing history to Medicaid, enough time for the organization to develop operational processes and payer relationships specific to H2022 service delivery.

Because the dataset shows no Medicare activity but substantial Medicaid revenue concentrated in a single code, the provider should be categorized as a specialized Medicaid-focused service provider. Strategic or risk assessments should prioritize Medicaid payment policy, state-level program changes to H2022, and competitive dynamics among the 14 in-state providers rather than Medicare market forces.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2022	Community-based wrap-around services, per diem	11,210	$1,780	$19.9M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Renewed Horizons, LLC — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	3	10	6,010	$820	$8.9M

Nearby Providers

Other providers in the same ZIP code as Renewed Horizons, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wellspring Meadows, Inc.	ID	Personal Care Attendant	$0	$3.9M
Dance Dentistry PLLC	ID	General Practice Dentistry	$0	$2.6M
Periwinkle Children's Therapy	ID	Contractor	$0	$1.8M
Renewed Horizons, LLC	ID	Developmentally Disabled Services Day Training Agency	$0	$1.3M
Lookout Behavioral Health LLC	ID	Adult Mental Health Clinic/Center	$0	$888.5K
Public Health District 1	ID	Public Health or Welfare Agency	$0	$843.3K
Shaun Joshi	ID	Nephrology Physician	$523.4K	$0
North Idaho Nephrology Associates, Inc.	ID	Medical Specialty Clinic/Center	$0	$504.4K
Robin Lindauer	ID	Optometrist	$129.3K	$330.6K
Joshua Tree Physical Therapy PLLC	ID	Specialist	$0	$373.1K

Renewed Horizons, LLC — Billing Profile & Reimbursement Data

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Renewed Horizons, LLC — Billing Profile & Reimbursement Data

Sign up for Renewed Horizons, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References