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.

Our House, Inc. (NPI 1134467673)

Field	Value
Entity Type	Organization
Organization	Our House, Inc.
Address	41 Spring St
City	New Providence
State	NJ
ZIP	07974
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	January 17, 2013

Payer Source	Total Paid
Medicaid	$99.6M
Medicare	$0

Key Findings

OUR HOUSE, INC. is effectively a single-payer Medicaid provider with no Medicare billing on file; lifetime Medicare revenue is listed as none while total Medicaid revenue is $99.6M, indicating its operations and reimbursement profile are overwhelmingly Medicaid-dependent. This payer concentration implies the organization’s financial performance and risk exposure are tightly coupled to Medicaid policy and waiver program changes in New Jersey.

Revenue concentration is extremely high: the precomputed top 3 Medicaid codes account for 99.4% of the provider’s Medicaid revenue. The dominant reliance on a very small set of service lines suggests the organization specializes in a narrow set of long-term support and habilitation services rather than a broad mix of clinical care.

H2016 (Comprehensive community support services, per diem) is the single largest revenue driver at $71.2M, representing 71.5% of the provider’s Medicaid revenue. This indicates the provider’s operations are largely organized around comprehensive community support programs that likely include multi-hour daily supports or residential community-based services, making H2016 the core service line and business focus.

T2021 (Day habilitation, waiver; per 15 minutes) contributes $27.4M and 27.5% of Medicaid revenue and is reported as notably above typical state volume (94th percentile, ranks #13 of 218). That percentile and ranking signal the provider is a major in-state participant for day habilitation services and likely operates sizeable day-program capacity or many enrolled waiver participants receiving routine habilitation.

Other billed codes are de minimis by comparison: T2019, A0090, 92507, H2021, and H0004 combine for the remaining small share of revenue (each individually 0.4%–0.1% of Medicaid revenue). These secondary codes suggest the organization also provides supported employment, transportation, speech/communication therapy, wrap-around and behavioral counseling services in support of its core residential/community habilitation offerings, but they do not materially drive revenue.

Competitive standing is mixed by code: for H2016 the provider ranks #28 of 206 in-state (87th percentile), described as a typical, unremarkable volume, which means while H2016 dominates its revenue mix, other New Jersey providers also deliver substantial volumes of this service. In contrast, T2021 ranking at #13 of 218 (94th percentile) and labeled notably above typical indicates the provider is a top-tier in-state performer for day habilitation specifically.

The provider’s NPI was enumerated on 2013-01-17 (~13 years ago), indicating over a decade of active billing history under the current NPI. That tenure supports the interpretation that the current service mix and volume are established operations rather than a recent pivot.

Given the extreme concentration in H2016 and T2021 (together accounting for 99.4% of Medicaid revenue), the provider’s business risk is concentrated in a few Medicaid waiver and community-support reimbursement categories; any regulatory, rate, or waiver-eligibility changes affecting these codes could materially impact overall revenue. Operationally, the firm appears optimized for delivering comprehensive community supports and day habilitation rather than diversified clinical or Medicare services.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	175,800	$410	$71.2M
T2021	Day habilitation, waiver; per 15 minutes	163,070	$170	$27.4M
T2019	Habilitation, supported employment, waiver; per 15 minutes	3,520	$120	$419.2K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	20,090	$10	$241.1K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	2,290	$60	$130.5K
H2021	Community-based wrap-around services, per 15 minutes	1,270	$90	$116.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	2,430	$40	$101.8K

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

Our House, Inc. — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	28	210	23,310	$490	$41.9M
T2021	Day habilitation, waiver; per 15 minutes	13	220	14,500	$170	$7.7M
H2021	Community-based wrap-around services, per 15 minutes	135	190	3,010	$260	$3.1M
T2019	Habilitation, supported employment, waiver; per 15 minutes	24	60	1,540	$110	$696.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	74	190	860	$100	$534.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	28	60	1,570	$70	$253.4K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	68	230	7,800	$10	$218.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Promptcare Companies, Inc.	NJ	Oxygen Equipment & Supplies (DME)	$0	$83.1M
Promptcare Home Infusion, LLC	NJ	Home Infusion Therapy Pharmacy	$0	$14.2M
Bdx Solutions, Inc.	NJ	Physiological Laboratory	$9.3M	$363.4K
Irina Marcoff	NJ	Physical Therapist	$396.6K	$0
Sunita Borkar	NJ	Diagnostic Radiology Physician	$390.3K	$0
Terrence Lee	NJ	Diagnostic Radiology Physician	$382.3K	$0
Joshua Curran	NJ	Diagnostic Radiology Physician	$263.9K	$0
Sidney Glasofer	NJ	Cardiovascular Disease Physician	$226.9K	$0
David Bartov	NJ	Interventional Cardiology Physician	$160K	$0
Jared Preston	NJ	Adult Reconstructive Orthopaedic Surgery Physician	$137.4K	$0

Our House, Inc. — Billing Profile & Reimbursement Data

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Our House, 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