Clinic
New Horizons Mental Wellness Clinics
New Horizons Mental Wellness Clinics was paid $1.08M by Medicaid between Jan 2018 and Aug 2022, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoNEW HORIZONS MENTAL WELLNESS CLINICS
POCATELLO, ID 83201
POCATELLO, ID 83201
33aNPI1750621116assigned 02/22/2013
33bProvider typeAdult Mental Health Clinic/Center
28Total paid$1.08M
24GClaims30,668
24DCodes billed22
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Adult Mental Health Clinic/Center providers in Idaho
Rank by total paid#5 of 14
Median peer was paid$150K
This provider vs. median7.2×
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.
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 | 9,970 | $433K | |
| 2019 | 10,187 | $365K | |
| 2020 | 5,542 | $235K | |
| 2021 | 3,630 | $29K | |
| 2022 | 1,339 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 43% | 10,463 | 8,848 | $463K |
| H0038 | Self-help/peer services, per 15 minutes | 25% | 2,231 | 688 | $273K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 20% | 5,146 | 2,012 | $217K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 5.7% | 3,043 | 2,684 | $61K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 1.7% | 352 | 104 | $18K |
| 96127 | <1% | 5,441 | 4,480 | $10K | |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 487 | 379 | $9K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 89 | 84 | $8K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | <1% | 90 | 12 | $7K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 49 | 24 | $4K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 32 | 28 | $2K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 26 | 14 | $1K |
10 more codes
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 1,189 | $768.68 |
| 99401 | <1% | 168 | $736.86 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 143 | $703.59 |
| 99306 | Prolong nursin fac eval 15m | <1% | 13 | $603.71 |
| 99335 | <1% | 23 | $496.74 | |
| H0031 | Mental health assessment, by non-physician | <1% | 13 | $181.35 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,099 | $174.38 |
| G9512 | Individual had a pdc of 0.8 or greater | 0% | 176 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 16 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 379 | $-51.32 |
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 officialROBERTSON, DARRIN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Upper Valley Resource & Counseling LLC | Sugar City, ID | $549K |
| New Horizons Mental Wellness Clinics PLLC | Pocatello, ID | $55K |
| Connections Family Medicine LLC | Pocatello, ID | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.