Agency
Community for New Direction
Community for New Direction was paid $1.72M by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is H0005, Alcohol and/or drug services; group counseling by a clinician — 32% of everything it billed.
33Billing provider infoCOMMUNITY FOR NEW DIRECTION
COLUMBUS, OH 43227
COLUMBUS, OH 43227
33aNPI1730230343assigned 01/12/2007
33bProvider typeCase Management Agency
28Total paid$1.72M
24GClaims27,990
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in Ohio
Rank by total paid#40 of 90
Median peer was paid$1.18M
This provider vs. median1.5×
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
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 | |
|---|---|---|---|
| 2018 | 4,145 | $240K | |
| 2019 | 6,003 | $370K | |
| 2020 | 6,382 | $375K | |
| 2021 | 4,270 | $294K | |
| 2022 | 2,985 | $186K | |
| 2023 | 2,318 | $125K | |
| 2024incomplete | 1,887 | $133K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 32% | 7,224 | 3,643 | $544K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 20% | 3,619 | 2,336 | $347K |
| 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 | 15% | 2,268 | 1,833 | $259K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.4% | 2,221 | 1,610 | $161K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 6.2% | 8,066 | 5,747 | $107K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.8% | 720 | 533 | $100K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 2.9% | 360 | 146 | $50K |
| T1002 | Rn services, up to 15 minutes | 2.9% | 1,335 | 989 | $49K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.0% | 679 | 494 | $34K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 574 | 380 | $27K |
| H0006 | Alcohol and/or drug services; case management | <1% | 218 | 155 | $12K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 74 | 54 | $6K |
7 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 87 | $6K |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 196 | $6K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 62 | $4K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 79 | $4K |
| 99355 | <1% | 39 | $2K | |
| 90785 | <1% | 141 | $2K | |
| 99354 | <1% | 28 | $1K |
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 officialJEFFERSON, GREGORY (INTERIM EXECUTIVE DIRECTOR)