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 Light Recovery Center (NPI 1992126452)

Field	Value
Entity Type	Organization
Organization	New Light Recovery Center
Address	300 W Mcnichols Rd
City	Detroit
State	MI
ZIP	48203
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	December 30, 2013

Payer Source	Total Paid
Medicaid	$9.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	366,550	$10	$3.7M
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	47,100	$30	$1.4M
T1012	Alcohol and/or substance abuse services, skills development	10,380	$80	$820.2K
H2035	Alcohol and/or other drug treatment program, per hour	7,690	$90	$653.5K
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…	8,600	$80	$645.3K
H0023	Alcohol and/or drug outreach	6,560	$90	$610.1K
S0280	Medical home program, comprehensive care coordination and planning, initial plan	2,140	$220	$465.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	3,820	$80	$305.7K
H0038	Self‑help/peer services, per 15 minutes	7,530	$40	$271.1K
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…	9,290	$30	$232.3K

Showing 1–10 of 23

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 Light Recovery Center — 1 of 23 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	17	40	288,630	$10	$4.4M
S9976	Lodging, per diem, not otherwise classified	81	90	6,650	$60	$1M
H0038	Self‑help/peer services, per 15 minutes	59	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…	32	50	1,210	$120	$702.8K
H0023	Alcohol and/or drug outreach	10	30	2,170	$90	$658.6K
S0280	Medical home program, comprehensive care coordination and planning, initial plan	32	90	1,700	$190	$542.3K
H2035	Alcohol and/or other drug treatment program, per hour	7	30	2,210	$90	$413.6K
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…	203	1,960	870	$100	$376.5K
T1012	Alcohol and/or substance abuse services, skills development	15	80	1,420	$40	$318.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,032	4,380	1,000	$70	$289.9K

Showing 1–10 of 23

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arab American And Chaldean Council	MI	Community/Behavioral Health Agency	$0	$26.9M
Rainbow Center Of Michigan Inc	MI	Specialty Pharmacy	$528.7K	$15.2M
Colling Goree	MI	Community Health Worker	$0	$12M
Christian Guidance Center	MI	Substance Abuse Rehabilitation Facility	$0	$8.9M
Detroit Recovery Project	MI	Community/Behavioral Health Agency	$0	$5.7M
Wally Mahar	MI	General Practice Physician	$49.7K	$0

New Light Recovery Center — Billing Profile & Reimbursement Data

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New Light Recovery Center — 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