Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

A New Start II, LLC

A New Start II, LLC was paid $22.10M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is G0483, 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; 22 or more drug class(es), including metabolite(s) if performed — 25% of everything it billed.

33Billing provider infoA NEW START II, LLC
CENTRAL CITY, KY 42330
33aNPI1467823328assigned 10/16/2015
33bProvider typeCounselor
28Total paid$22.10M
24GClaims527,564
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Counselor providers in Kentucky

Rank by total paid#2 of 55
Median peer was paid$202K
This provider vs. median109×

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
201859,056$872K
201982,630$1.40M
2020103,422$4.62M
202186,923$4.61M
202293,416$5.21M
202366,219$3.60M
2024incomplete35,898$1.79M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0483 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; 22 or more drug class(es), including metabolite(s) if performed 25% 38,147 29,796 $5.62M
T2023 Targeted case management; per month 21% 12,326 11,129 $4.66M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 111,534 58,257 $3.87M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 14% 76,381 43,055 $3.06M
H0038 Self-help/peer services, per 15 minutes 6.5% 113,461 35,353 $1.45M
H2027 Psychoeducational service, per 15 minutes 4.4% 20,568 17,393 $976K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 3.9% 29,688 21,584 $866K
90853 Group psychotherapy (other than of a multiple-family group) 1.2% 30,949 16,947 $261K
80305 1.1% 44,862 17,262 $241K
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% 3,328 2,889 $217K
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% 6,089 3,593 $210K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 1,642 1,359 $95K
23 more codes
99204 Doctor's office visit, new patient (more involved) <1% 1,833 $92K
90837 Psychotherapy session, about an hour <1% 3,096 $84K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification <1% 1,099 $68K
99406 <1% 12,167 $66K
81025 <1% 11,047 $56K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed <1% 531 $49K
99442 <1% 1,191 $31K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,157 $24K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,157 $24K
87563 <1% 1,181 $24K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 1,181 $24K
G0659 Drug test(s), definitive, utilizing 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), excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase), performed without method or drug-specific calibration, without matrix-matched quality control material, or without use of stable isotope or other universally recognized internal standard(s) for each drug, drug metabolite or drug class per specimen; qualitative or quantitative, all sources, includes specimen validity testing, per day, any number of drug classes <1% 222 $7K
99203 Doctor's office visit, new patient (routine) <1% 129 $6K
99205 Prolong outpt/office vis <1% 170 $5K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 274 $4K
80053 Comprehensive metabolic panel <1% 580 $4K
99441 <1% 192 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 516 $2K
86803 <1% 274 $2K
86705 <1% 274 $2K
87340 <1% 269 $2K
99443 <1% 27 $1K
H0027 Alcohol and/or drug prevention environmental service (broad range of external activities geared toward modifying systems in order to mainstream prevention through policy and law) 0% 22 $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 officialVINCENT, WILLIAM (ADMINISTRATOR)