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    OpenPayerNPI Medicare & MedicaidEden Autism Services.
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    Eden Autism Services. — Billing Profile & Reimbursement Data

    NPI 1033591003 · Princeton, NJ · Developmentally Disabled Services Day Training Agency

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    Eden Autism Services. is a developmentally disabled services day training agency provider located in Princeton, New Jersey. This profile covers 0 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationEden Autism Services.
    Address2 Merwick Rd
    CityPrinceton
    StateNJ
    ZIP08540
    TaxonomyDevelopmentally Disabled Services Day Training Agency
    NPI EnumeratedJune 25, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$167M
    Medicare$0

    Key Findings

    EDEN AUTISM SERVICES is effectively a single-payer Medicaid provider with no Medicare billing on file and $167M in lifetime Medicaid revenue, indicating its operations and reimbursement are overwhelmingly dependent on state Medicaid programs rather than Medicare. The provider’s NPI was enumerated on 2015-06-25 (~11 years ago), establishing roughly a decade-long presence in the market and suggesting an established service footprint in New Jersey. Revenue is extremely concentrated in a small set of services: the top three Medicaid codes together account for 99.4% of the provider’s total Medicaid revenue, demonstrating reliance on a narrow mix of programmatic offerings. H2016 (Comprehensive community support services, per diem) alone represents $139.6M or 83.6% of Medicaid revenue; the provider ranks #13 of 206 in-state (94th percentile), which places it as a high-volume but not dominant statewide player for this code. T2021 (Day habilitation, waiver; per 15 minutes) is the second major revenue driver at $24.1M (14.4% of Medicaid revenue); the provider ranks #22 of 218 in-state (90th percentile), indicating substantial scale in day habilitation services relative to most peers. T2019 (Habilitation, supported employment, waiver; per 15 minutes) contributes $2.2M (1.3% of Medicaid revenue) and ranks #5 of 63 in-state (94th percentile); this code’s status as “notably above typical state volume” signals a meaningful competitive strength in supported employment habilitation services. Secondary codes such as 92507 (speech/language assessment and treatment) appear at much lower share ($978.6K, 0.6%) but still place the provider in the 95th percentile statewide, indicating that while speech services are not a primary revenue driver, the organization provides them at above-average volume compared with most in-state peers. Smaller per-minute and per-hour habilitation codes (T2015, H2015, H0004) together account for immaterial shares of revenue and mostly occupy mid-to-low state rank percentiles, reinforcing that EDEN’s business model centers on per-diem comprehensive community support and day habilitation rather than a broad mix of ancillary billable services. Overall, the combination of long tenure, very high concentration in H2016 and T2021, and top-percentile ranks on several habilitation codes portrays EDEN AUTISM SERVICES as a specialized Medicaid habilitation/day program provider with strong relative scale in New Jersey but limited service diversification and no presence in Medicare.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2016Comprehensive community support services, per diem259,040$540$139.6M
    T2021Day habilitation, waiver; per 15 minutes136,080$180$24.1M
    T2019Habilitation, supported employment, waiver; per 15 minutes27,660$80$2.2M
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…18,120$50$978.6K
    T2015Habilitation, prevocational, waiver; per hour1,990$40$73.4K
    H2015Comprehensive community support services, per 15 minutes700$30$23.9K
    H0004Behavioral health counseling and therapy, per 15 minutes570$10$8K

    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.

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

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2016Comprehensive community support services, per diem1321023,310$490$41.9M
    T2021Day habilitation, waiver; per 15 minutes2222014,500$170$7.7M
    H2015Comprehensive community support services, per 15 minutes731101,860$140$1.1M
    T2019Habilitation, supported employment, waiver; per 15 minutes5601,540$110$696.7K
    T2015Habilitation, prevocational, waiver; per hour43702,810$100$671.2K
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…10190860$100$534.8K
    H0004Behavioral health counseling and therapy, per 15 minutes41601,570$70$253.4K

    Nearby Providers

    Other providers in the same ZIP code as Eden Autism Services., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Options, Inc.NJIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$337.7M
    Enable, Inc.NJIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$79.3M
    Community Options Enterprises, IncNJDevelopmentally Disabled Services Day Training Agency$0$63.5M
    Neighbours, IncNJCase Management Agency$0$55.3M
    Princeton Healthcare System, A New Jersey Non-profit CorporationNJPsychiatric Hospital Unit$0$34M
    Beacon Specialized Living New Jersey, Inc.NJDevelopmentally Disabled Services Day Training Agency$0$32.5M
    Princeton Child Development InstituteNJCommunity/Behavioral Health Agency$0$15.2M
    Lingraphicare America, IncNJDurable Medical Equipment & Medical Supplies$0$13.1M
    Values Into Action Nj, Inc.NJCase Management Agency$0$11.5M
    Association For Advancement Of Mental HealthNJCommunity/Behavioral Health Agency$0$10.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Jersey Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Eden Autism Services. — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey