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.

Bergen's Promise, Inc. (NPI 1083738868)

Field	Value
Entity Type	Organization
Organization	Bergen's Promise, Inc.
Address	3 University Plaza Drive
City	Hackensack
State	NJ
ZIP	07601
Taxonomy	Case Management Agency
NPI Enumerated	March 19, 2007

Payer Source	Total Paid
Medicaid	$91.3M
Medicare	$0

Key Findings

BERGEN'S PROMISE, INC. is effectively a Medicaid-focused, case-management–oriented operation: its taxonomy is Case Management Agency and its lifetime Medicaid revenue is $91.3M while Medicare billing is recorded as none (no Medicare billing on file). The NPI was enumerated on 2007-03-19 (~19 years ago), indicating long-term presence in the market rather than a recent entrant.

Revenue is highly concentrated in a very small set of service lines: the precomputed top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, with two visible codes driving the total. T2023 generates $81.9M (89.7% of Medicaid revenue) and H0046 generates $9.4M (10.3% of Medicaid revenue), together accounting for the full reported Medicaid revenue pool.

The code mix points to ongoing monthly case management as the core business and a secondary role in mental-health service delivery. T2023 (Targeted case management; per month) dominates revenue and volume, while H0046 (Mental health services, not otherwise specified) represents a smaller but material specialty line with a higher average paid per claim.

Operational scale is signaled by the sheer claim counts and average payments: T2023 shows 90.5K claims at an average paid/claim of $905, consistent with high-volume, recurring monthly billing of case-management encounters and implying sustained caseload and staffing requirements to support continuous case management. H0046 shows 7K claims at an average paid/claim of $1350, suggesting fewer but higher-paid mental-health encounters that complement the core case-management services.

Competitive standing within New Jersey is solid but not dominant. For its primary code T2023 it ranks #4 of 16 providers in-state (80th percentile; typical, unremarkable volume for this code), and for H0046 it ranks #5 of 22 providers in-state (81th percentile; typical, unremarkable volume for this code), indicating it is a meaningful participant among peers but not the top statewide provider for these services.

Because the organization reports no Medicare activity and $91.3M in Medicaid revenue, its payer risk and growth opportunities are tightly coupled to Medicaid policy, reimbursement rates, and state-level contracting; there is little diversification into Medicare revenue streams. Analysts should treat it as a single-payer–concentrated entity for strategic and financial comparisons.

Both high-volume codes are described as typical within their peer groups rather than statistical outliers, so current volumes and reimbursement levels fall within expected in-state patterns. The available percentile and descriptor metadata (80th and 81th percentiles; typical, unremarkable volume for these codes) support the conclusion that the provider operates at a respectable but not exceptional scale relative to New Jersey peers.

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
T2023	Targeted case management; per month	90,450	$910	$81.9M
H0046	Mental health services, not otherwise specified	6,970	$1,350	$9.4M

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

Bergen's Promise, 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
T2023	Targeted case management; per month	4	20	65,220	$870	$62.3M
H0046	Mental health services, not otherwise specified	5	20	3,460	$580	$2.4M

Nearby Providers

Other providers in the same ZIP code as Bergen's Promise, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Care Finders Total Care LLC	NJ	Home Health Agency	$0	$710M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$333.3M
Confident Care Corp	NJ	Nursing Care Agency	$0	$115.1M
The Center For Family Support, New Jersey, Inc.	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$76.6M
The Arc Of Bergen And Passaic Counties, Inc.	NJ	Community/Behavioral Health Agency	$0	$68.2M
Loving Care Agency, Inc	NJ	Home Health Agency	$0	$59.1M
Comprehensive Behavioral Healthcare, Inc.	NJ	Respite Care	$0	$48.2M
Alpha Care Home Health Services Of Nj, Inc.	NJ	Home Health Agency	$0	$28.2M
Eastern Nursing Services I, Inc	NJ	Home Health Agency	$0	$23M
Angel Care	NJ	Home Health Agency	$0	$20.3M

Bergen's Promise, Inc. — Billing Profile & Reimbursement Data

Sign up for Bergen's Promise, Inc. — Billing Profile & Reimbursement Data policy alerts

Bergen's Promise, Inc. — Billing Profile & Reimbursement Data

Sign up for Bergen's Promise, 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