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.

Adult Family Health Services LLC (NPI 1043786254)

Field	Value
Entity Type	Organization
Organization	Adult Family Health Services LLC
Address	53 Orchard St
City	Clifton
State	NJ
ZIP	07013
Taxonomy	Mental Health Counselor
NPI Enumerated	October 16, 2018

Payer Source	Total Paid
Medicaid	$9.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	84,160	$90	$7.6M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	10,070	$90	$896.4K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	54,340	$10	$489.1K
A0425	Ground mileage, per statute mile	53,550	$10	$267.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	2,740	$70	$203K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	290	$440	$127.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	1,570	$50	$75.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	2,180	$10	$26.1K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	310	$60	$20K

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

Adult Family Health Services LLC — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	28	170	21,080	$100	$4.2M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	137	720	1,690	$80	$629.2K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	214	480	220	$260	$260.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,266	4,450	740	$40	$229.8K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	22	230	7,800	$10	$218.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	265	430	550	$50	$190.5K
A0425	Ground mileage, per statute mile	35	430	3,700	$10	$106.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	307	1,520	260	$40	$71.9K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	84	660	190	$30	$42.6K

Nearby Providers

Other providers in the same ZIP code as Adult Family Health Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Med Screen Laboratories Inc	NJ	Clinical Medical Laboratory	$177.8K	$29M
Casa Home Care, Inc	NJ	Home Health Agency	$0	$21.7M
Clifton Adult Opportunity Center	NJ	Developmentally Disabled Services Day Training Agency	$0	$21.4M
Mental Health Clinic Of Passaic Inc	NJ	Community/Behavioral Health Agency	$0	$16.7M
Fares Diarbakerli Md PC	NJ	Obstetrics & Gynecology Physician	$0	$16.5M
National Vision Administrators, LLC	NJ	Eyewear Supplier	$0	$15.4M
Charles Haddad, Md	NJ	Obstetrics & Gynecology Physician	$0	$12.6M
Clifton Board Of Education	NJ	Local Education Agency (LEA)	$0	$11.9M
Cassovia Ambulance Limited Liability Company	NJ	Land Ambulance	$1.4M	$100K
Oliver Youssef	NJ	Otolaryngology/Facial Plastic Surgery Physician	$120.3K	$1.4M

Adult Family Health Services LLC — Billing Profile & Reimbursement Data

Sign up for Adult Family Health Services LLC — Billing Profile & Reimbursement Data policy alerts

Adult Family Health Services LLC — Billing Profile & Reimbursement Data

Sign up for Adult Family Health Services LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References