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.

Tricounty Care Management Organization (NPI 1124159363)

Field	Value
Entity Type	Organization
Organization	Tricounty Care Management Organization
Address	1250 State Route 28 Ste 101
City	Branchburg
State	NJ
ZIP	08876
Taxonomy	Case Management Agency
NPI Enumerated	March 8, 2007

Payer Source	Total Paid
Medicaid	$49.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2023	Targeted case management; per month	54,850	$900	$49.5M

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

Tricounty Care Management Organization — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2023	Targeted case management; per month	15	20	65,220	$870	$62.3M

Nearby Providers

Other providers in the same ZIP code as Tricounty Care Management Organization, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Midland Adult Services, Inc.	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$42.6M
Robert Wood Johnson University Hospital Inc	NJ	General Acute Care Hospital	$0	$42.3M
Ahmed Abdel-megid	NJ	Internal Medicine Physician	$2.6M	$0
Obi Imegwu	NJ	Vascular Surgery Physician	$1.6M	$0
Able Medical Transportation, Inc.	NJ	Land Ambulance	$828K	$505.4K
Patrick Saulino	NJ	Cardiovascular Disease Physician	$387.5K	$0
Ambulatory Surgical Center Of Somerville LLC	NJ	Ambulatory Surgical Clinic/Center	$308.9K	$0
Neel Shah	NJ	Urology Physician	$261.5K	$0
Nimer Mian	NJ	Neurology Physician	$252.1K	$0
Tsuey-ling Chen	NJ	Anatomic Pathology & Clinical Pathology Physician	$206.8K	$0

Tricounty Care Management Organization — Billing Profile & Reimbursement Data

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Tricounty Care Management Organization — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References