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.
CENTRAL CITY, KY 42330
Next to other Counselor providers in Kentucky
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 59,056 | $872K | |
| 2019 | 82,630 | $1.40M | |
| 2020 | 103,422 | $4.62M | |
| 2021 | 86,923 | $4.61M | |
| 2022 | 93,416 | $5.21M | |
| 2023 | 66,219 | $3.60M | |
| 2024incomplete | 35,898 | $1.79M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.