Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OR › Baker City › NPI 1235124462
Clinic

New Directions Northwest, INC

New Directions Northwest, INC was paid $18.49M by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 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 — 54% of everything it billed.

33Billing provider infoNEW DIRECTIONS NORTHWEST, INC
BAKER CITY, OR 97814
33aNPI1235124462assigned 09/14/2005
28Total paid$18.49M
24GClaims78,011
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Oregon

Rank by total paid#2 of 62
Median peer was paid$163K
This provider vs. median114×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201813,043$1.71M
201913,649$2.21M
202010,152$2.57M
20219,211$1.47M
202211,707$2.90M
20239,972$3.97M
2024incomplete10,277$3.66M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 54% 7,937 2,672 $9.90M
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 34% 5,252 2,238 $6.20M
H0011 Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) 9.1% 563 470 $1.68M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 15,698 8,878 $167K
H0005 Alcohol and/or drug services; group counseling by a clinician <1% 8,071 3,050 $119K
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 4,853 2,787 $90K
H0012 Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) <1% 284 110 $71K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient <1% 4,986 2,592 $67K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity <1% 6,657 5,363 $42K
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood <1% 8,728 4,139 $40K
H0001 Alcohol and/or drug assessment <1% 284 247 $22K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 478 447 $20K
26 more codes
99213 Doctor's office visit, returning patient (routine) <1% 2,720 $17K
99407 <1% 676 $11K
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) <1% 296 $9K
T1016 Case management, each 15 minutes <1% 1,804 $8K
H2011 Crisis intervention service, per 15 minutes <1% 284 $8K
H2014 Skills training and development, per 15 minutes <1% 2,011 $4K
90832 Psychotherapy session, about 30 minutes <1% 292 $4K
90792 Psychiatric diagnostic evaluation with medical services <1% 88 $3K
H0038 Self-help/peer services, per 15 minutes <1% 1,092 $2K
H0006 Alcohol and/or drug services; case management <1% 140 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,989 $1K
H0032 Mental health service plan development by non-physician <1% 47 $1K
H0036 Community psychiatric support and treatment, per 15 minutes <1% 286 $1K
H2023 Supported employment, per 15 minutes <1% 1,455 $1K
S9981 Medical records copying fee, administrative <1% 54 $582.14
H2021 Community-based wrap-around services, per 15 minutes <1% 46 $532.00
90853 Group psychotherapy (other than of a multiple-family group) <1% 596 $455.81
99204 Doctor's office visit, new patient (more involved) <1% 33 $410.14
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 17 $210.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 36 $179.49
98966 <1% 24 $156.32
H0002 Behavioral health screening to determine eligibility for admission to treatment program <1% 12 $140.20
H0023 Behavioral health outreach service (planned approach to reach a targeted population) <1% 24 $58.90
99484 0% 162 $0.00
90847 Family psychotherapy with the patient present, 50 minutes 0% 17 $0.00
98960 0% 19 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialLIND, MARJORIE (CLINICAL DIRECTOR)