Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Jersey (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Alfa Development Inc. (NPI 1023464401)

Field	Value
Entity Type	Organization
Organization	Alfa Development Inc.
Address	39 Oak Ridge Rd.
City	Newfoundland
State	NJ
ZIP	07435
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	May 4, 2016

Payer Source	Total Paid
Medicaid	$96.5M
Medicare	$0

Key Findings

ALFA DEVELOPMENT INC. is a Developmentally Disabled Services Day Training Agency with an NPI enumerated on 2016-05-04 (~10 years ago), indicating roughly a decade of participation in publicly funded programs. The entity’s billing footprint is concentrated in long-standing Medicaid program codes rather than Medicare, consistent with its stated taxonomy and service focus.

This provider is effectively single-payer: there is no Medicare revenue on file and total Medicaid lifetime revenue is $96.5M. The absence of Medicare billing means financial exposure and growth are tied almost entirely to Medicaid policy, reimbursement rates, and waiver program availability at the state level.

Revenue is highly concentrated in a very small code set: the precomputed top 3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue, with H2016 producing $64.3M (66.6%) and T2021 producing $32.2M (33.4%). Such concentration indicates that a small number of service lines drive nearly all reported Medicaid receipts.

The mix of codes and the taxonomy indicate day habilitation and community support are the core operations: H2016 (Comprehensive community support services, per diem) and T2021 (Day habilitation, waiver; per 15 minutes) together define the service model as center- and community-based habilitation and supports for individuals with developmental disabilities. Claim-level detail reinforces this operational profile: H2016 shows 81.4K claims with $790 avg paid/claim, while T2021 shows 148.4K claims with $217 avg paid/claim, consistent with per-diem and high-volume per-15-minute billing structures.

Competitive positioning varies by code: for T2021 the provider ranks #18 of 218 in-state (92th percentile; notably above typical state volume for this code), indicating a strong, above-typical presence in day habilitation within New Jersey. This rank suggests the provider is among the larger state-level participants for waiver-based day habilitation services.

By contrast, for H2016 the provider ranks #68 of 206 in-state (67th percentile; typical, unremarkable volume for this code), signaling a more modest or average position in comprehensive community support services relative to peers. That contrast implies the organization’s relative strength is specifically concentrated in the per-15-minute day habilitation line rather than across all community support billing.

Operational and financial risk is elevated by the combination of payer concentration and code concentration: with $96.5M coming entirely from Medicaid and 100.0% of Medicaid revenue driven by the top 3 codes, changes to Medicaid reimbursement, waiver rules, or utilization patterns for H2016 or T2021 could materially affect overall revenue. Analysts should flag dependency on these services when assessing contract negotiation leverage, audit focus, or contingency planning.

Claims-level dynamics point to differing service delivery intensity: T2021 accounts for more claims (148.4K) but a lower avg paid/claim ($217), consistent with many short-duration, unit-based habilitation encounters, whereas H2016 has fewer claims (81.4K) at a higher avg paid/claim ($790), consistent with per-diem comprehensive support days. This suggests staffing, scheduling, and documentation practices will differ across the two principal service lines and should be assessed separately in operational reviews.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	81,410	$790	$64.3M
T2021	Day habilitation, waiver; per 15 minutes	148,370	$220	$32.2M

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Jersey Distribution

Alfa Development Inc. — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	68	210	23,310	$490	$41.9M
T2021	Day habilitation, waiver; per 15 minutes	18	220	14,500	$170	$7.7M

Nearby Providers

Other providers in the same ZIP code as Alfa Development Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Bock	NJ	Legal Medicine	$296.9K	$0
Paul Levinson	NJ	Optometrist	$65.2K	$0

Alfa Development Inc. — Billing Profile & Reimbursement Data

Sign up for Alfa Development Inc. — Billing Profile & Reimbursement Data policy alerts

Alfa Development Inc. — Billing Profile & Reimbursement Data

Sign up for Alfa Development Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References