Next Frontier Recovery, LLC

Next Frontier Recovery, LLC was paid $1.00M by Medicaid between Jul 2024 and Dec 2024, across 3 billing codes. Its largest line is S0201, Partial hospitalization services, less than 24 hours, per diem — 99% of everything it billed.

33Billing provider infoNEXT FRONTIER RECOVERY, LLC
HENRICO, VA 23229

33aNPI1720840952assigned 01/24/2024

33bProvider typeIntellectual and/or Developmental Disabilities Residential Treatment Facility

28Total paid$1.00M

24GClaims2,136

24DCodes billed3

24AFirst – last monthJul 2024 – Dec 2024

Compared with peers

Next to other Intellectual and/or Developmental Disabilities Residential Treatment Facility providers in Virginia

Rank by total paid#45 of 57

Median peer was paid$6.68M

This provider vs. median0.2×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration99% of spending on code S0201 with only 3 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

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

Year	Claims	Paid
2024incomplete	2,136	$1.00M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S0201	Partial hospitalization services, less than 24 hours, per diem	99%	2,001	229	$994K
T1012	Alcohol and/or substance abuse services, skills development	<1%	122	39	$6K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	13	13	$2K

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 officialROOK, DAVID (OWNER)