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

Why is the Medicaid comparison limited to Montana 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. Montana (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 Day, Inc. (NPI 1760525992)

Field	Value
Entity Type	Organization
Organization	New Day, Inc.
Address	1724 Lampman Dr
City	Billings
State	MT
ZIP	59102
Taxonomy	Mental Illness Community Based Residential Treatment Facility
NPI Enumerated	February 15, 2007

Payer Source	Total Paid
Medicaid	$27.7M
Medicare	$0

Key Findings

This provider is effectively single‑payer in scale: NEW DAY, INC. has no Medicare billing on file and reports $27.7M in lifetime Medicaid revenue, so Medicaid is the dominant — effectively sole — public payer driving its business volumes and financial footprint. This concentrated payer exposure means Medicaid reimbursement policy and rate changes will materially affect the entity's revenue.

Revenue is highly concentrated in a few Medicaid service lines: the precomputed top three Medicaid codes (S5145, H2012, H0015) account for 90.2% of the provider's total Medicaid revenue. Those three codes individually generate $15.6M (S5145, 56.2%), $5.6M (H2012, 20.3%), and $3.8M (H0015, 13.6%) respectively, so organizational resources and capacity are very likely aligned to these specific service models.

The code mix indicates NEW DAY, INC. operates primarily as a residential and intensive behavioral-health service provider for children and adolescents: S5145 (Foster care, therapeutic, child; per diem) is the largest single revenue driver and suggests a substantial therapeutic foster-care or residential placement operation. Complementary volumes in H2012 (Behavioral health day treatment, per hour) and H0015 (intensive outpatient substance use services) point to integrated day‑program and intensive outpatient programming layered on top of residential/foster‑care placements.

Competitive standing on the largest line (S5145) is modest within Montana: the provider ranks #4 of 8 in-state for S5145 and sits at the 57th percentile, with the precomputed descriptor characterizing this as a typical, unremarkable volume for the code. In practice this means NEW DAY is a meaningful but not dominant statewide provider of therapeutic foster‑care per diems and likely competes with several similar-sized operators.

For intensive outpatient substance‑use services (H0015) the provider ranks relatively high in-state (#3 of 22, 90th percentile), although the precomputed note still labels the reported volume as typical and unremarkable for this code. This combination — a strong rank but a non‑alarmist descriptor — suggests the provider is one of the larger regional suppliers of H0015 services without being an extreme outlier in how that service is delivered or billed.

Day‑program and ancillary services provide additional, smaller revenue streams: H2012 (19.4K claims, $5.6M) is the second largest code and ranks #9 of 15 in-state (43rd percentile, typical), while T1016 (case management, 5.4K claims, $1.1M) and H0038 (self‑help/peer services, 7.8K claims, $519.5K) together indicate operational capacity for case management and peer supports alongside clinical programming. These mid‑tier services likely support the higher‑revenue residential and day‑treatment lines rather than being standalone revenue drivers.

The absence of Medicare billing removes dual‑payer dynamics from analysis: because there is no Medicare activity on file, comparisons to national Medicare peers are not applicable and competitive assessment should focus on Medicaid/statelevel markets and program contracting. That narrow payer exposure concentrates both revenue risk and strategic negotiation leverage solely within Medicaid channels.

NEW DAY, INC. appears to be an established operator: its NPI was enumerated on 2007-02-15 (~19 years ago), indicating long tenure in the market. Combined with the concentrated Medicaid revenue base, this tenure suggests an operational model refined around Medicaid‑funded residential and intensive behavioral health services rather than a newly formed entrant or short‑term program.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5145	Foster care, therapeutic, child; per diem	13,390	$1,160	$15.6M
H2012	Behavioral health day treatment, per hour	19,440	$290	$5.6M
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…	10,180	$370	$3.8M
T1016	Case management, each 15 minutes	5,410	$200	$1.1M
H0038	Self‑help/peer services, per 15 minutes	7,750	$70	$519.5K
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…	5,570	$80	$457K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	7,160	$30	$214.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,320	$90	$114.9K
H2014	Skills training and development, per 15 minutes	1,150	$100	$110.3K
H2020	Therapeutic behavioral services, per diem	150	$690	$103.5K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Montana Distribution

New Day, Inc. — 0 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. Montana median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5145	Foster care, therapeutic, child; per diem	4	10	10,460	$230	$12.3M
H2012	Behavioral health day treatment, per hour	9	20	27,640	$60	$2M
H2020	Therapeutic behavioral services, per diem	12	10	1,970	$120	$1.7M
T1016	Case management, each 15 minutes	20	50	2,720	$50	$1.4M
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…	3	20	1,510	$170	$848K
H0038	Self‑help/peer services, per 15 minutes	4	40	1,050	$50	$171.5K
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…	78	1,200	750	$80	$143.2K
H2014	Skills training and development, per 15 minutes	3	10	1,050	$70	$115K
H2036	Alcohol and/or other drug treatment program, per diem	6	10	260	$90	$74.5K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	15	110	1,250	$10	$50.5K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as New Day, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Youth Dynamics, Inc.	MT	Mental Illness Community Based Residential Treatment Facility	$0	$65.4M
Youth Dynamics, Inc.	MT	Professional Counselor	$0	$24.6M
Resource, Support, & Development, Inc.	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21.3M
Brittany Curl	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.5M
Rimrock Pediatric Dentistry	MT	Pediatric Dentistry	$0	$15.2M
Bridges Of Montana	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$12.7M
The Childrens Clinic Of Billings, PC	MT	Pediatrics Physician	$0	$10.9M
Community Option Resource Enterprises, Inc.	MT	Developmentally Disabled Services Day Training Agency	$0	$9.8M
Ryan K. Larsen Dmd & Associates	MT	Dental Anesthesiology	$0	$8.3M
Brewer Dental Center PLLC	MT	General Practice Dentistry	$0	$8.3M

New Day, Inc. — Billing Profile & Reimbursement Data

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New Day, Inc. — 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