Is NEW DIRECTIONS NORTHWEST, INC flagged for Medicaid fraud?

NEW DIRECTIONS NORTHWEST, INC (NPI: 1235124462) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does NEW DIRECTIONS NORTHWEST, INC bill Medicaid?

NEW DIRECTIONS NORTHWEST, INC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in BAKER CITY, OR.

What is NPI 1235124462?

NPI 1235124462 is the National Provider Identifier for NEW DIRECTIONS NORTHWEST, INC. They are a Community/Behavioral Health provider based in BAKER CITY, OR. This NPI is registered with the CMS NPI Registry.

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NEW DIRECTIONS NORTHWEST, INC

Community/Behavioral Health·BAKER CITY, OR·NPI: 1235124462Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $18.5M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$18.5M

$18,486,694

Total Claims

78K

Beneficiaries

41K

1.9 claims/patient

Avg Cost/Claim

$237

Monthly Spending Trend

Yearly Spending

2018

$1.7M

+30%

2019

$2.2M

+16%

2020

$2.6M

-43%

2021

$1.5M

+97%

2022

$2.9M

+37%

2023

$4.0M

-8%

2024

$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 38 distinct procedure codes. The top code (H0019 (Behavioral health; residential, per diem)) accounts for 54% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H0019Behavioral health; residential, per diemSee all providers →

$9.9M

7,937 claims

$1,247.28

$357.16

3.5×

Normal range

H0019Normal range

Behavioral health; residential, per diem

$9.9M

7,937 claims · 53.6%

Your Cost: $1,247.28/claim|Median: $357.16

3.5× median

H0018Behavioral health; short-term residential, per diemSee all providers →

$6.2M

5,252 claims

$1,179.71

$467.51

2.5×

Normal range

H0018Normal range

Behavioral health; short-term residential, per diem

$6.2M

5,252 claims · 33.5%

Your Cost: $1,179.71/claim|Median: $467.51

2.5× median

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

$1.7M

563 claims

$2,983.19

$317.54

9.4×

Top 1%

H0011Top 1%

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

$1.7M

563 claims · 9.1%

Your Cost: $2,983.19/claim|Median: $317.54

9.4× median

90834Psychotherapy, 45 minutesSee all providers →

$167K

16K claims

$10.66

$63.65

0.2×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$167K

16K claims · 0.9%

Your Cost: $10.66/claim|Median: $63.65

0.2× median

H0005Alcohol and/or drug services, group counselingSee all providers →

$119K

8,071 claims

$14.77

$47.35

0.3×

Normal range

H0005Normal range

Alcohol and/or drug services, group counseling

$119K

8,071 claims · 0.6%

Your Cost: $14.77/claim|Median: $47.35

0.3× median

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

$90K

4,853 claims

$18.44

$74.63

0.2×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$90K

4,853 claims · 0.5%

Your Cost: $18.44/claim|Median: $74.63

0.2× median

H0012 See all providers →

$71K

284 claims

$249.57

$295.95

0.8×

Normal range

H0012Normal range

$71K

284 claims · 0.4%

Your Cost: $249.57/claim|Median: $295.95

0.8× median

90837Psychotherapy, 60 minutesSee all providers →

$67K

4,986 claims

$13.44

$85.66

0.2×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$67K

4,986 claims · 0.4%

Your Cost: $13.44/claim|Median: $85.66

0.2× median

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

$42K

6,657 claims

$6.26

$53.41

0.1×

Normal range

99214Normal range

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

$42K

6,657 claims · 0.2%

Your Cost: $6.26/claim|Median: $53.41

0.1× median

H0048 See all providers →

$40K

8,728 claims

$4.58

$13.25

0.3×

Normal range

H0048Normal range

$40K

8,728 claims · 0.2%

Your Cost: $4.58/claim|Median: $13.25

0.3× median

H0001Alcohol and/or drug assessmentSee all providers →

$22K

284 claims

$76.90

$94.22

0.8×

Normal range

H0001Normal range

Alcohol and/or drug assessment

$22K

284 claims · 0.1%

Your Cost: $76.90/claim|Median: $94.22

0.8× median

90791Psychiatric diagnostic evaluationSee all providers →

$20K

478 claims

$40.91

$99.21

0.4×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$20K

478 claims · 0.1%

Your Cost: $40.91/claim|Median: $99.21

0.4× median

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

$17K

2,720 claims

$6.17

$37.81

0.2×

Normal range

99213Normal range

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

$17K

2,720 claims · 0.1%

Your Cost: $6.17/claim|Median: $37.81

0.2× median

99407 See all providers →

$11K

676 claims

$16.30

$13.29

1.2×

Normal range

99407Normal range

$11K

676 claims · 0.1%

Your Cost: $16.30/claim|Median: $13.29

1.2× median

H0016Alcohol or drug abuse services, prenatalSee all providers →

$9K

296 claims

$29.43

$182.66

0.2×

Normal range

H0016Normal range

Alcohol or drug abuse services, prenatal

$9K

296 claims · 0.0%

Your Cost: $29.43/claim|Median: $182.66

0.2× median

T1016Case management, each 15 minSee all providers →

$8K

1,804 claims

$4.51

$49.62

0.1×

Normal range

T1016Normal range

Case management, each 15 min

$8K

1,804 claims · 0.0%

Your Cost: $4.51/claim|Median: $49.62

0.1× median

H2011Crisis intervention service, per 15 minutesSee all providers →

$8K

284 claims

$27.28

$215.80

0.1×

Normal range

H2011Normal range

Crisis intervention service, per 15 minutes

$8K

284 claims · 0.0%

Your Cost: $27.28/claim|Median: $215.80

0.1× median

H2014Skills training & development, per 15 minSee all providers →

$4K

2,011 claims

$1.98

$83.88

0.0×

Normal range

H2014Normal range

Skills training & development, per 15 min

$4K

2,011 claims · 0.0%

Your Cost: $1.98/claim|Median: $83.88

0.0× median

90832Psychotherapy, 30 minutesSee all providers →

$4K

292 claims

$12.16

$41.28

0.3×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$4K

292 claims · 0.0%

Your Cost: $12.16/claim|Median: $41.28

0.3× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

$3K

88 claims

$37.71

$108.91

0.3×

Normal range

90792Normal range

Psychiatric diagnostic evaluation with medical services

$3K

88 claims · 0.0%

Your Cost: $37.71/claim|Median: $108.91

0.3× median

H0038Self-help/peer services, per 15 minutesSee all providers →

$2K

1,092 claims

$1.91

$55.04

0.0×

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

$2K

1,092 claims · 0.0%

Your Cost: $1.91/claim|Median: $55.04

0.0× median

H0006Alcohol and/or drug services, case managementSee all providers →

$2K

140 claims

$10.83

$43.10

0.3×

Normal range

H0006Normal range

Alcohol and/or drug services, case management

$2K

140 claims · 0.0%

Your Cost: $10.83/claim|Median: $43.10

0.3× median

99211Office/outpatient visit, minimal complexitySee all providers →

$1K

1,989 claims

$0.75

$12.93

0.1×

Normal range

99211Normal range

Office/outpatient visit, minimal complexity

$1K

1,989 claims · 0.0%

Your Cost: $0.75/claim|Median: $12.93

0.1× median

H0032Mental health service plan developmentSee all providers →

$1K

47 claims

$27.69

$80.64

0.3×

Normal range

H0032Normal range

Mental health service plan development

$1K

47 claims · 0.0%

Your Cost: $27.69/claim|Median: $80.64

0.3× median

H0036Community psychiatric supportive treatment, per 15 minSee all providers →

$1K

286 claims

$4.05

$76.05

0.1×

Normal range

H0036Normal range

Community psychiatric supportive treatment, per 15 min

$1K

286 claims · 0.0%

Your Cost: $4.05/claim|Median: $76.05

0.1× median

H2023Supported employment, per 15 minSee all providers →

$1K

1,455 claims

$0.72

$103.94

0.0×

Normal range

H2023Normal range

Supported employment, per 15 min

$1K

1,455 claims · 0.0%

Your Cost: $0.72/claim|Median: $103.94

0.0× median

S9981 See all providers →

$582

54 claims

$10.78

$14.70

0.7×

Normal range

S9981Normal range

$582

54 claims · 0.0%

Your Cost: $10.78/claim|Median: $14.70

0.7× median

H2021Community-based wrap-around services, per 15 minSee all providers →

$532

46 claims

$11.57

$169.11

0.1×

Normal range

H2021Normal range

Community-based wrap-around services, per 15 min

$532

46 claims · 0.0%

Your Cost: $11.57/claim|Median: $169.11

0.1× median

90853Group psychotherapySee all providers →

$456

596 claims

$0.76

$25.02

0.0×

Normal range

90853Normal range

Group psychotherapy

$456

596 claims · 0.0%

Your Cost: $0.76/claim|Median: $25.02

0.0× median

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

$410

33 claims

$12.43

$84.03

0.1×

Normal range

99204Normal range

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

$410

33 claims · 0.0%

Your Cost: $12.43/claim|Median: $84.03

0.1× median

G0480Drug test, definitive, 1-7 drug classesSee all providers →

$210

17 claims

$12.35

$37.56

0.3×

Normal range

G0480Normal range

Drug test, definitive, 1-7 drug classes

$210

17 claims · 0.0%

Your Cost: $12.35/claim|Median: $37.56

0.3× median

99212Office/outpatient visit, low complexitySee all providers →

$179

36 claims

$4.99

$25.06

0.2×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$179

36 claims · 0.0%

Your Cost: $4.99/claim|Median: $25.06

0.2× median

98966 See all providers →

$156

24 claims

$6.51

$6.84

1.0×

Normal range

98966Normal range

$156

24 claims · 0.0%

Your Cost: $6.51/claim|Median: $6.84

1.0× median

H0002Behavioral health screeningSee all providers →

$140

12 claims

$11.68

$38.77

0.3×

Normal range

H0002Normal range

Behavioral health screening

$140

12 claims · 0.0%

Your Cost: $11.68/claim|Median: $38.77

0.3× median

H0023Behavioral health outreach service, per 15 minutesSee all providers →

$59

24 claims

$2.45

$53.97

0.0×

Normal range

H0023Normal range

Behavioral health outreach service, per 15 minutes

$59

24 claims · 0.0%

Your Cost: $2.45/claim|Median: $53.97

0.0× median

99484 See all providers →

162 claims

$0.00

$7.13

—

Normal range

99484Normal range

162 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.13

90847Family psychotherapy with patient, 50 minSee all providers →

17 claims

$0.00

$77.33

—

Normal range

90847Normal range

Family psychotherapy with patient, 50 min

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $77.33

98960 See all providers →

19 claims

$0.00

$12.74

—

Normal range

98960Normal range

19 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.74

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