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

Why is the Medicaid comparison limited to Ohio 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. Ohio (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 Recovery LLC (NPI 1881065712)

Field	Value
Entity Type	Organization
Organization	New Day Recovery LLC
Address	1500 Mckinley Ave
City	Niles
State	OH
ZIP	44446
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	October 19, 2015

Payer Source	Total Paid
Medicaid	$65.9M
Medicare	$0

Key Findings

NEW DAY RECOVERY LLC reports no Medicare billing on file and $65.9M in lifetime Medicaid revenue, making it effectively a Medicaid-focused facility in this dataset rather than a mixed Medicare/Medicaid provider. The absence of Medicare activity contrasts with the substantial Medicaid footprint and indicates payer concentration risk if policy or Medicaid contracting changes occur.

Revenue is highly concentrated in a small set of service lines: the precomputed top three Medicaid codes account for 97.4% of this provider’s total Medicaid revenue. Those top drivers are H0011 ($37M, 56.2%), H2036 ($22.8M, 34.6%), and H2034 ($4.4M, 6.7%), indicating a narrow revenue base dominated by addiction treatment and residential services.

The code mix and billing patterns point to a bed-based, residential addiction services operation. H0011 (acute detoxification, residential inpatient) and H0010 (sub-acute detoxification) indicate on-site detox capacity, while H2036 and H2034 are per-diem codes for treatment program and halfway house services, consistent with per-diem, residential care delivery rather than primarily outpatient therapy.

NEW DAY RECOVERY is a dominant statewide provider for acute residential detoxification: H0011 ranks #1 of 60 providers in-state (100th percentile) and is explicitly labeled an "extreme outlier," signifying far higher state volume for this code than typical peers. H2036 also demonstrates above-typical scale, ranking #5 of 131 providers in-state (97th percentile, described as "notably above typical"), supporting its status as a major in-state provider of per-diem addiction treatment.

While the top three codes account for almost all Medicaid revenue, several ancillary services are billed at very low revenue levels relative to core services. Examples include 82075 ($22K, 1.8K claims), 90632 ($11.3K, 389 claims), 86580 ($5.5K, 1.4K claims), and 90471 ($4.3K, 429 claims); these items represent routine labs and vaccinations with typical in-state rank positions but negligible revenue share.

Operational scale is reflected in high claim volumes for core codes: H0011 has 97.8K claims and H2036 has 104K claims, with average paid per claim of $378 and $219 respectively, indicating sustained high-volume, per-diem utilization rather than episodic, low-volume billing. These claim counts reinforce the provider’s capacity for high-throughput residential treatment.

Despite its in-state dominance on key residential detox and per-diem codes, the provider’s service mix is narrowly focused on addiction/residential habilitation lines rather than broader medical or outpatient specialties. That concentration may be a competitive advantage within Medicaid-funded addiction services but also represents limited diversification of payer and service lines within the billing profile.

The provider’s NPI was enumerated on 2015-10-19 (~11 years ago), indicating roughly a decade of billing history under this enrollment; combined with its high-volume rankings, this tenure suggests established operations and sustained Medicaid contracting in its specialty areas.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	97,840	$380	$37M
H2036	Alcohol and/or other drug treatment program, per diem	104,000	$220	$22.8M
H2034	Alcohol and/or drug abuse halfway house services, per diem	30,750	$140	$4.4M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	6,720	$250	$1.7M
82075	The lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath and correlates the measurement to blood alcohol content.	1,830	$10	$22K
90632	This code represents a vaccine product administered into a muscle to protect against hepatitis A, a liver infection. This code is specific to an adult dosage.	390	$30	$11.3K
86580	The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.	1,370	$1	$5.5K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	430	$10	$4.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

New Day Recovery LLC — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	1	60	8,280	$370	$5.8M
H2036	Alcohol and/or other drug treatment program, per diem	5	130	13,910	$220	$5.2M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	8	20	3,200	$240	$2.1M
H2034	Alcohol and/or drug abuse halfway house services, per diem	4	50	3,790	$140	$1.5M
82075	The lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath and correlates the measurement to blood alcohol content.	31	110	370	$20	$87.4K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	297	890	160	$10	$15K
90632	This code represents a vaccine product administered into a muscle to protect against hepatitis A, a liver infection. This code is specific to an adult dosage.	8	30	90	$30	$7.1K
86580	The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.	7	100	90	$10	$2.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cadence Care Network	OH	Adolescent and Children Mental Health Clinic/Center	$0	$15M
Clinic Medical Services Company	OH	Diagnostic Radiology Physician	$410.1K	$0
Ramy Fahim	OH	Foot & Ankle Surgery Podiatrist	$111.7K	$0
Joey Annichine	OH	Family Nurse Practitioner	$17.9K	$0

New Day Recovery LLC — Billing Profile & Reimbursement Data

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New Day Recovery LLC — 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