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

Why is the Medicaid comparison limited to Michigan 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. Michigan (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 Paths, Inc. (NPI 1821435991)

Field	Value
Entity Type	Organization
Organization	New Paths, Inc.
Address	765 E Hamilton Ave
City	Flint
State	MI
ZIP	48505
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	May 30, 2013

Payer Source	Total Paid
Medicaid	$28M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	43,950	$170	$7.3M
H0038	Self‑help/peer services, per 15 minutes	208,030	$30	$5.8M
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…	47,980	$100	$4.6M
T1012	Alcohol and/or substance abuse services, skills development	137,250	$20	$2.1M
H2034	Alcohol and/or drug abuse halfway house services, per diem	91,680	$20	$1.4M
S9976	Lodging, per diem, not otherwise classified	50,920	$20	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	15,990	$70	$1.2M
H2036	Alcohol and/or other drug treatment program, per diem	11,400	$100	$1.1M
H0005	Alcohol and/or drug services; group counseling by a clinician	34,900	$30	$1.1M
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	24,390	$30	$609.8K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Michigan Distribution

New Paths, Inc. — 6 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	5	70	3,240	$390	$4.7M
H0043	Supported housing, per diem	81	130	10,330	$210	$4.5M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	41	50	3,580	$380	$3.7M
S9976	Lodging, per diem, not otherwise classified	9	90	6,650	$60	$1M
H0038	Self‑help/peer services, per 15 minutes	2	190	2,210	$70	$754.1K
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	50	1,210	$120	$702.8K
S0280	Medical home program, comprehensive care coordination and planning, initial plan	58	90	1,700	$190	$542.3K
H2034	Alcohol and/or drug abuse halfway house services, per diem	1	40	3,720	$50	$426.4K
H2036	Alcohol and/or other drug treatment program, per diem	2	10	1,520	$90	$418.5K
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…	306	1,960	870	$100	$376.5K

Showing 1–10 of 22

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hamilton Community Health Network, Inc.	MI	Federally Qualified Health Center (FQHC)	$0	$8.7M

New Paths, Inc. — Billing Profile & Reimbursement Data

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New Paths, Inc. — 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