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.

The Arc/morris County Chapter, New Jersey, Inc. (NPI 1134500648)

Field	Value
Entity Type	Organization
Organization	The Arc/morris County Chapter, New Jersey, Inc.
Address	150 Algonquin Pkwy
City	Whippany
State	NJ
ZIP	07981
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	June 11, 2015

Payer Source	Total Paid
Medicaid	$106.7M
Medicare	$0

Key Findings

This provider is effectively single-payer: Total Medicare revenue is listed as none and Total Medicaid revenue is $106.7M, so all documented public payer activity is concentrated in Medicaid. The absence of Medicare billing on file indicates its operations are focused on Medicaid-covered developmental disability services rather than Medicare-eligible medical lines.

Revenue is highly concentrated in a very small set of codes: the precomputed top three Medicaid codes account for 99.7% of this provider's total Medicaid revenue. In particular, H2016 (78.0% of Medicaid revenue) and T2021 (21.3% of Medicaid revenue) together dominate the revenue mix, leaving other codes with only marginal shares of the Medicaid dollar.

The code mix and averages point to a service model built around ongoing, programmatic supports for people with developmental disabilities: H2016 (Comprehensive community support services, per diem) and T2021 (Day habilitation, waiver; per 15 minutes) are the clear operational core. H2016’s structure as a per-diem comprehensive support (99.9K claims, $833 avg paid/claim, $83.2M revenue) suggests bundled, daily community-support programming, while T2021’s per-15-minute billing (110.7K claims, $205 avg paid/claim, $22.7M revenue) indicates high-volume, time-based day habilitation services.

Claim volumes underscore scale of ongoing service delivery: 99.9K H2016 claims and 110.7K T2021 claims reflect sustained, high-frequency utilization rather than episodic medical visits, consistent with day programs and community supports. The large difference in avg paid/claim ($833 for H2016 vs $205 for T2021) aligns with H2016 being a higher-value per-diem bundle and T2021 reflecting aggregated minute-based habilitation time.

Statewide competitive standing varies by line: for H2016 the provider ranks #61 of 206 (71st percentile) and is characterized in the data as a typical, unremarkable volume performer, indicating modest market presence for comprehensive community supports. For T2021 the provider ranks #29 of 218 (87th percentile) — also described as typical, unremarkable — which nonetheless signals a stronger in-state position in day habilitation compared with its standing on H2016.

Ancillary service lines generate minimal revenue but show operational breadth: A0090 (non-emergency transportation) produced 12.4K claims and $484.5K revenue (0.5% of Medicaid revenue) with a $39 avg paid/claim and ranks #90 of 227 (61th percentile), indicating transportation is a routine but low-margin component of service delivery. T1005 (respite care) and H2015 (per-15-minute community supports) are very small contributors (T1005: 1.2K claims, $243K revenue, 0.2%; H2015: 401 claims, $39.3K revenue, 0.0%) and rank in the middle-to-lower ranges among peers, consistent with limited emphasis on these subservices.

The dataset’s plain-English labels indicate no extreme statistical outliers among the top codes: H2016, T2021, A0090, T1005, and H2015 are all described as typical or unremarkable in volume relative to in-state peers, even where percentiles differ. In practice this means the provider operates at scale in a narrowly defined set of Medicaid service lines without exhibiting the kind of extreme outlier behavior that would distinguish it as an anomalous billing pattern.

Tenure is established but not long-standing: the NPI enumerated on 2015-06-11 (~11 years ago), indicating roughly a decade of enrollment. Combined with the very concentrated Medicaid revenue mix, this tenure suggests a stable, specialized Medicaid-focused operation whose financial exposure and strategic risk are tied closely to state Medicaid policy and reimbursement changes affecting H2016 and T2021.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	99,940	$830	$83.2M
T2021	Day habilitation, waiver; per 15 minutes	110,650	$210	$22.7M
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	12,420	$40	$484.5K
T1005	Respite care services, up to 15 minutes	1,170	$210	$243K
H2015	Comprehensive community support services, per 15 minutes	400	$100	$39.3K

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

The Arc/morris County Chapter, New Jersey, Inc. — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	61	210	23,310	$490	$41.9M
T2021	Day habilitation, waiver; per 15 minutes	29	220	14,500	$170	$7.7M
H2015	Comprehensive community support services, per 15 minutes	83	110	1,860	$140	$1.1M
T1005	Respite care services, up to 15 minutes	19	40	830	$100	$313.7K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	90	230	7,800	$10	$218.8K

Nearby Providers

Other providers in the same ZIP code as The Arc/morris County Chapter, New Jersey, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Second Inning1 Adult Day Care Center	NJ	Adult Day Care Clinic/Center	$0	$14.8M
Hanover Nj Endoscopy Asc LLC	NJ	Ambulatory Surgical Clinic/Center	$940.2K	$478.9K
Richard Schenk	NJ	Orthopaedic Trauma Physician	$46.3K	$0
Christina Benn	NJ	Optometrist	$37.3K	$0

The Arc/morris County Chapter, New Jersey, Inc. — Billing Profile & Reimbursement Data

Sign up for The Arc/morris County Chapter, New Jersey, Inc. — Billing Profile & Reimbursement Data policy alerts

The Arc/morris County Chapter, New Jersey, 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