Is NEW DAY RECOVERY, LLC flagged for Medicaid fraud?

NEW DAY RECOVERY, LLC (NPI: 1043560808) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does NEW DAY RECOVERY, LLC bill Medicaid?

NEW DAY RECOVERY, LLC received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Substance Abuse Rehabilitation Facility provider. Located in WEST MONROE, LA.

What is NPI 1043560808?

NPI 1043560808 is the National Provider Identifier for NEW DAY RECOVERY, LLC. They are a Substance Abuse Rehabilitation Facility provider based in WEST MONROE, LA. This NPI is registered with the CMS NPI Registry.

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NEW DAY RECOVERY, LLC

Substance Abuse Rehabilitation Facility·WEST MONROE, LA·NPI: 1043560808Share

Compared to Substance Abuse Rehabilitation Facility Peers

Total spending distribution among 20 providers in this specialty

P25MedianP75P90

This provider's total spending of $58.9M is at the 50th percentile among 20 Substance Abuse Rehabilitation Facility providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$58.9M

$58,861,402

Total Claims

348K

Beneficiaries

31K

11.3 claims/patient

Avg Cost/Claim

$169

Monthly Spending Trend

Yearly Spending

2018

$8.8M

+23%

2019

$10.8M

-9%

2020

$9.9M

-10%

2021

$8.9M

-11%

2022

$8.0M

-2%

2023

$7.9M

-42%

2024

$4.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (H2036 (Alcohol/drug treatment, per hour)) accounts for 90% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2036Alcohol/drug treatment, per hourSee all providers →

$53.1M

278K claims

$190.61

$253.79

0.8×

Normal range

H2036Normal range

Alcohol/drug treatment, per hour

$53.1M

278K claims · 90.1%

Your Cost: $190.61/claim|Median: $253.79

0.8× median

H0015Alcohol and/or drug abuse, intensive outpatient, per hourSee all providers →

$4.7M

54K claims

$86.81

$129.75

0.7×

Normal range

H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$4.7M

54K claims · 8.0%

Your Cost: $86.81/claim|Median: $129.75

0.7× median

H0011Alcohol and/or drug services, acute detoxification, per diemSee all providers →

$662K

2,514 claims

$263.30

$317.54

0.8×

Normal range

H0011Normal range

Alcohol and/or drug services, acute detoxification, per diem

$662K

2,514 claims · 1.1%

Your Cost: $263.30/claim|Median: $317.54

0.8× median

H0001Alcohol and/or drug assessmentSee all providers →

$184K

3,785 claims

$48.58

$94.22

0.5×

Normal range

H0001Normal range

Alcohol and/or drug assessment

$184K

3,785 claims · 0.3%

Your Cost: $48.58/claim|Median: $94.22

0.5× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$107K

4,080 claims

$26.18

$37.81

0.7×

Normal range

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$107K

4,080 claims · 0.2%

Your Cost: $26.18/claim|Median: $37.81

0.7× median

99212Office/outpatient visit, low complexitySee all providers →

$87K

4,052 claims

$21.50

$25.06

0.9×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$87K

4,052 claims · 0.1%

Your Cost: $21.50/claim|Median: $25.06

0.9× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$16K

408 claims

$38.64

$53.41

0.7×

Normal range

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$16K

408 claims · 0.0%

Your Cost: $38.64/claim|Median: $53.41

0.7× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

$10K

159 claims

$64.77

$108.91

0.6×

Normal range

90792Normal range

Psychiatric diagnostic evaluation with medical services

$10K

159 claims · 0.0%

Your Cost: $64.77/claim|Median: $108.91

0.6× median

99204Office/outpatient visit, new patient, mod-high complexitySee all providers →

$3K

79 claims

$32.94

$84.03

0.4×

Normal range

99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$3K

79 claims · 0.0%

Your Cost: $32.94/claim|Median: $84.03

0.4× median

90853Group psychotherapySee all providers →

$2K

159 claims

$9.48

$25.02

0.4×

Normal range

90853Normal range

Group psychotherapy

$2K

159 claims · 0.0%

Your Cost: $9.48/claim|Median: $25.02

0.4× median

90832Psychotherapy, 30 minutesSee all providers →

$960

53 claims

$18.11

$41.28

0.4×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$960

53 claims · 0.0%

Your Cost: $18.11/claim|Median: $41.28

0.4× median

90834Psychotherapy, 45 minutesSee all providers →

$330

18 claims

$18.33

$63.65

0.3×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$330

18 claims · 0.0%

Your Cost: $18.33/claim|Median: $63.65

0.3× median

90837Psychotherapy, 60 minutesSee all providers →

$240

21 claims

$11.43

$85.66

0.1×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$240

21 claims · 0.0%

Your Cost: $11.43/claim|Median: $85.66

0.1× median

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