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.

New Jersey Division Of Developmental Disabilities (NPI 1073854451)

Field	Value
Entity Type	Organization
Organization	New Jersey Division Of Developmental Disabilities
Address	5 Commerce Way Ste 100
City	Hamilton
State	NJ
ZIP	08691
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	March 8, 2013

Payer Source	Total Paid
Medicaid	$334.1M
Medicare	$0

Key Findings

This entity has no Medicare billing on file and is effectively single‑payer, with total Medicaid revenue of $334.1M reported; the provider's NPI was enumerated on 2013-03-08 (~13 years ago), indicating an established presence in the market. The absence of Medicare receipts and the scale of Medicaid receipts together point to an operational focus tied almost entirely to state Medicaid programs rather than traditional Medicare populations.

Revenue is highly concentrated: the precomputed top three Medicaid codes (H2016, H2015, T2020) account for 95.2% of this provider's total Medicaid revenue. Those three codes individually are H2016 ($215.2M, 64.4%), H2015 ($61.7M, 18.5%), and T2020 ($41.3M, 12.3%), showing that a very small set of services generates the overwhelming share of income.

The code mix indicates core operations are comprehensive community support and day habilitation: H2016 (Comprehensive community support services, per diem) and H2015 (Comprehensive community support services, per 15 minutes) together dominate billing, while T2020 (Day habilitation, waiver; per diem) is also material. The presence of both per‑diem codes (H2016, T2020) and intensive per‑15‑minute billing (H2015 with 392.9K claims at $157 avg paid/claim) suggests the provider runs both ongoing day habilitation programs and high‑frequency community support visits or therapies.

H2015 is a statewide outlier: the provider ranks #1 of 113 in‑state for H2015 and is labeled an "extreme outlier" (100th percentile), indicating it supplies far more per‑15‑minute comprehensive community support services than any other in‑state peer. This dominance for H2015 makes the provider a leading — and atypically large — deliverer of time‑based community support services in New Jersey.

By contrast, H2016 is a routine statewide participant: the provider ranks #80 of 206 for H2016 (61th percentile; typical, unremarkable volume for this code), so while H2016 drives the single largest dollar amount ($215.2M), the provider's per‑diem volume for that code is within the state's middle range. For T2020 the provider is listed as #1 of 1 (0th percentile; no state peer volume comparison available), which signals either unique reporting or that it is the sole identified reporter of that waiver day habilitation per‑diem in the dataset.

Beyond the top three, the provider shows above‑typical positioning in several complementary service lines: T2041 (Supports brokerage, $5.7M) ranks #1 of 4 (100th percentile; typical, unremarkable volume), S9125 (Respite care, $4.9M) ranks #1 of 11 (100th percentile; notably above typical state volume), and T2015 (Habilitation prevocational, $1.3M) ranks #5 of 70 (94th percentile; notably above typical). These secondary lines indicate a broader service portfolio that supports in‑home respite, brokerage/self‑direction, and pre‑vocational habilitation alongside the core community support and day habilitation offerings.

The concentration in a narrow set of codes creates revenue dependence and operational vulnerability: with H2016, H2015, and T2020 representing 95.2% of Medicaid revenue, changes to reimbursement rules, waiver design, or service authorization for those specific codes could materially affect the provider's top line. Analysts should treat this provider as highly specialized in Medicaid developmental‑disability programs and prioritize monitoring policy or rate changes affecting H2016, H2015, and T2020.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	58,150	$3,700	$215.2M
H2015	Comprehensive community support services, per 15 minutes	392,900	$160	$61.7M
T2020	Day habilitation, waiver; per diem	122,420	$340	$41.3M
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	36,520	$160	$5.7M
S9125	Respite care, in the home, per diem	3,240	$1,520	$4.9M
T2015	Habilitation, prevocational, waiver; per hour	31,700	$40	$1.3M
T2016	Habilitation, residential, waiver; per diem	4,390	$280	$1.2M
T1005	Respite care services, up to 15 minutes	9,280	$110	$1M
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	74,850	$10	$898.2K
T2018	Habilitation, supported employment, waiver; per diem	4,140	$210	$881.6K

Showing 1–10 of 11

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

New Jersey Division Of Developmental Disabilities — 5 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	80	210	23,310	$490	$41.9M
T2020	Day habilitation, waiver; per diem	1	10	122,420	$340	$41.2M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	5	10	1,100	$30	$3.5M
T2016	Habilitation, residential, waiver; per diem	1	10	3,560	$510	$1.8M
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	1	10	5,380	$140	$1.7M
H2015	Comprehensive community support services, per 15 minutes	1	110	1,860	$140	$1.1M
T2018	Habilitation, supported employment, waiver; per diem	1	10	4,140	$210	$883.7K
T2015	Habilitation, prevocational, waiver; per hour	5	70	2,810	$100	$671.2K
S9125	Respite care, in the home, per diem	1	10	210	$650	$537.6K
T1005	Respite care services, up to 15 minutes	5	40	830	$100	$313.7K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as New Jersey Division Of Developmental Disabilities, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Serv Achievement Centers Inc	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$103.5M
Loving Care Agency, Inc	NJ	Home Health Agency	$0	$22.9M
Thomas Reilly	NJ	Diagnostic Radiology Physician	$618.2K	$50
Richard Scafidi	NJ	Diagnostic Radiology Physician	$349.9K	$0
Robert Mignone	NJ	Otolaryngology/Facial Plastic Surgery Physician	$289.1K	$0
Christopher Kirkpatrick	NJ	Diagnostic Radiology Physician	$248.8K	$20
Jeffrey Mathews	NJ	Diagnostic Radiology Physician	$235.4K	$0
Jeffrey Steinig	NJ	Diagnostic Radiology Physician	$221.3K	$130
Michael Dutka	NJ	Diagnostic Radiology Physician	$202.9K	$2.1K
Michael Gold	NJ	Diagnostic Radiology Physician	$191.4K	$180

New Jersey Division Of Developmental Disabilities — Billing Profile & Reimbursement Data

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New Jersey Division Of Developmental Disabilities — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References