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.

Allies, Inc. (NPI 1104176676)

Field	Value
Entity Type	Organization
Organization	Allies, Inc.
Address	1262 Whitehorse Hamilton Square Rd Ste 101
City	Hamilton
State	NJ
ZIP	08690
Taxonomy	Emotionally Disturbed Childrens' Residential Treatment Facility
NPI Enumerated	September 12, 2012

Payer Source	Total Paid
Medicaid	$362.8M
Medicare	$0

Key Findings

This provider is effectively single‑payer and Medicaid‑centric: Total Medicare revenue is none (no Medicare billing on file) while total Medicaid revenue is $362.8M, indicating the organization’s entire reported public‑payer scale is concentrated in Medicaid programs. Analysts should treat this entity as a Medicaid provider without Medicare exposure in the available billing data.

Revenue is extremely concentrated in a small set of service lines: the precomputed top 3 Medicaid codes account for 99.8% of this provider's total Medicaid revenue. Those top codes are H2016 ($344.2M revenue; 94.9% of this provider's total Medicaid revenue), T2021 ($17.3M revenue; 4.8% of this provider's total Medicaid revenue), and A0090 ($473K revenue; 0.1% of this provider's total Medicaid revenue).

The code mix points to a residential/community habilitation operating model with high reliance on per‑diem community support: H2016 (Comprehensive community support services, per diem) is the dominant line, and T2021 (Day habilitation, waiver; per 15 minutes) plus A0090 (Non‑emergency transportation, per mile) indicate a bundled program of day habilitation plus transport supports. This pattern is consistent with an Emotionally Disturbed Childrens' Residential Treatment Facility delivering long‑duration community support services and associated habilitation and transport.

Competitive standing on H2016 is unusually strong: H2016 ranks #3 of 206 providers in‑state and is in the 99th percentile, labeled an "extreme outlier, far above typical state volume for this code." That rank and percentile indicate this provider is a dominant statewide supplier for per‑diem comprehensive community support services, while its T2021 activity (rank #21 of 218, 91th percentile; typical, unremarkable volume for this code) and A0090 activity (rank #49 of 227, 79th percentile; typical, unremarkable volume for this code) are sizeable but not exceptional by the same standard.

Operational scale is large in volume as well as dollars: H2016 shows 784K claims with an average paid/claim of $439, and T2021 shows 140.9K claims with an average paid/claim of $123, reflecting sustained, high‑frequency service delivery consistent with per‑diem and time‑based habilitation models. These claim counts underline substantial throughput and suggest significant administrative and care coordination capacity required to support the billed services.

Smaller ancillary codes contribute negligible share of revenue but reflect service breadth: T2015 ($318K revenue; 0.1% of this provider's total Medicaid revenue) ranks #15 of 70 providers in‑state (80th percentile), H0004 ($265.2K revenue; 0.1% of this provider's total Medicaid revenue) ranks #14 of 64 (79th percentile), and T2019 ($185K revenue; 0.1% of this provider's total Medicaid revenue) ranks #31 of 63 (52th percentile). These entries show modest participation in prevocational habilitation, behavioral health counseling, and supported employment relative to the provider's dominant H2016 footprint.

NPI tenure indicates an established presence: the NPI was enumerated on 2012-09-12 (~14 years ago), which supports interpretation of the data as the output of a stable, long‑running operation rather than a new entrant. For payers and policy analysts, that tenure combined with the concentrated revenue mix suggests longstanding contracts and operational processes focused on Medicaid community support services.

From a payer risk‑management and contracting perspective, the provider’s dependence on a single massive code stream (H2016 at $344.2M and 94.9% of Medicaid revenue) creates both leverage and concentration risk: changes to H2016 utilization, rates, or program policy could materially affect total spend tied to this provider. Analysts should prioritize utilization reviews, rate benchmarking, and programmatic oversight for H2016 while recognizing that other billed codes collectively represent only a small portion of the provider's Medicaid revenue.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	784,010	$440	$344.2M
T2021	Day habilitation, waiver; per 15 minutes	140,900	$120	$17.3M
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	33,780	$10	$473K
T2015	Habilitation, prevocational, waiver; per hour	9,350	$30	$318K
H0004	Behavioral health counseling and therapy, per 15 minutes	5,410	$50	$265.2K
T2019	Habilitation, supported employment, waiver; per 15 minutes	1,850	$100	$185K

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

Allies, Inc. — 1 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	3	210	23,310	$490	$41.9M
T2021	Day habilitation, waiver; per 15 minutes	21	220	14,500	$170	$7.7M
T2019	Habilitation, supported employment, waiver; per 15 minutes	31	60	1,540	$110	$696.7K
T2015	Habilitation, prevocational, waiver; per hour	15	70	2,810	$100	$671.2K
H0004	Behavioral health counseling and therapy, per 15 minutes	14	60	1,570	$70	$253.4K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	49	230	7,800	$10	$218.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical Diagnostic Laboratories,llc	NJ	Clinical Medical Laboratory	$5.6M	$81M
Robert Wood Johnson University Hospital At Hamilton	NJ	General Acute Care Hospital	$0	$28.2M
Hamilton Dental Associates	NJ	General Practice Dentistry	$0	$23.1M
Mind Your Mind	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$18.7M
Arc Mercer, Inc	NJ	Developmentally Disabled Services Day Training Agency	$0	$14.5M
Mercer County Special Services School District	NJ	Local Education Agency (LEA)	$0	$10.5M
Campus Eye Group Asc, LLC	NJ	Ophthalmologic Surgery Clinic/Center	$1.8M	$1.6M
Marc Handler	NJ	Procedural Dermatology Physician	$1.3M	$82.3K
Mukaram Gazi	NJ	Urology Physician	$902.2K	$0
Mahmoud Ghusson	NJ	Cardiovascular Disease Physician	$586.5K	$0

Allies, Inc. — Billing Profile & Reimbursement Data

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Allies, Inc. — 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