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 Tennessee for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Tennessee 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. Tennessee (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.

Summit Bhc New Jersey, LLC (NPI 1174123582)

Field	Value
Entity Type	Organization
Organization	Summit Bhc New Jersey, LLC
Address	501 Corporate Centre Dr Ste 600
City	Franklin
State	TN
ZIP	37067
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	October 27, 2020

Payer Source	Total Paid
Medicaid	$21.9M
Medicare	$0

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
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	12,560	$1,680	$21.2M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	340	$2,180	$730K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

Claims Volume vs. Tennessee Distribution

Summit Bhc New Jersey, LLC — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	1	10	12,560	$1,680	$21.2M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	5	10	1,520	$360	$872.7K

Nearby Providers

Other providers in the same ZIP code as Summit Bhc New Jersey, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health Connect America, Inc	TN	Community/Behavioral Health Agency	$0	$285.6M
Capitol City Residential Healthcare Tn LLC	TN	Developmentally Disabled Services Day Training Agency	$0	$29.4M
Miller Helpers	TN	In Home Supportive Care Agency	$0	$15.3M
Results-ast Jv, LLC	TN	Physical Therapist	$0	$6.9M
Williamson County Hospital District	TN	General Acute Care Hospital	$0	$4.8M
Skin Solutions Dermatology & Skin Cancer Surgery, P.C.	TN	Specialist	$0	$4.4M
Dr. Mark Lynn & Associates, PLLC	TN	Optometrist	$0	$3.2M
Ambulatory Surgery Center Of Cool Springs LLC	TN	Ambulatory Surgical Clinic/Center	$2.5M	$0
Chase Escott	TN	Radiation Oncology Physician	$1.3M	$0
Douglas Kingma	TN	Hematology (Pathology) Physician	$1.2M	$0

Summit Bhc New Jersey, LLC — Billing Profile & Reimbursement Data

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Summit Bhc New Jersey, LLC — 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