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.

Vna Health Group Of New Jersey, LLC (NPI 1174520076)

Field	Value
Entity Type	Organization
Organization	Vna Health Group Of New Jersey, LLC
Address	80 Main Street - Suite 300
City	West Orange
State	NJ
ZIP	07052
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	July 7, 2005

Payer Source	Total Paid
Medicaid	$24.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2046	Hospice long term care, room and board only; per diem	65,990	$230	$15M
T2042	Hospice routine home care; per diem	21,380	$440	$9.5M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	12,860	$1	$12.9K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	1,670	$0	$0
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	25,880	$0	$0
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	1,980	$0	$0
Q5001	Hospice or home health care provided in patient's home/residence	1,480	$0	$0
HH250	N/A	1,920	$0	$0
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	50	$0	$0
Q5004	Hospice care provided in skilled nursing facility (snf)	650	$0	$0

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

Vna Health Group Of New Jersey, LLC — 1 of 3 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2046	Hospice long term care, room and board only; per diem	4	50	5,800	$490	$8.3M
T2042	Hospice routine home care; per diem	1	20	2,910	$370	$1.9M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	14	90	2,790	$1	$25.7K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	18	50	1,460	$1	$2.6K
Q5004	Hospice care provided in skilled nursing facility (snf)	7	10	650	$1	$2.3K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	13	50	600	$1	$2.2K
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	18	20	380	$1	$860
Q5001	Hospice or home health care provided in patient's home/residence	23	60	1,080	$1	$770
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	8	50	5,350	$1	$180
HH250	N/A	2	20	450	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Vna Health Group Of New Jersey, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vna Health Group Of New Jersey, LLC	NJ	Home Health Agency	$0	$10.6M
Vna Health Group Of New Jersey, LLC	NJ	Home Health Agency	$0	$9.8M

Nearby Providers

Other providers in the same ZIP code as Vna Health Group Of New Jersey, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Barnabas Health Medical Group, PC	NJ	Specialist	$0	$39.6M
Anchor Behavioral Solutions LLC	NJ	Community/Behavioral Health Agency	$0	$27.2M
Premie Home Health Care Services, Inc.	NJ	Home Health Agency	$0	$12.5M
Mental Health Assn Of Essex And Morris	NJ	Case Management Agency	$0	$10.6M
Kessler Institute For Rehabilitation Inc	NJ	Rehabilitation Hospital	$0	$10.2M
Rwjbh Primary Care Services	NJ	Internal Medicine Physician	$0	$8.6M
West Orange Board Of Education	NJ	Local Education Agency (LEA)	$0	$8.2M
Maxim Healthcare Services, Inc.	NJ	Home Health Agency	$0	$8.1M
Easter Seals New Jersey	NJ	Mental Illness Community Based Residential Treatment Facility	$0	$8M
Essex Specialized Surgical Institute LLC	NJ	Ambulatory Surgical Clinic/Center	$3.7M	$2M

Vna Health Group Of New Jersey, LLC — Billing Profile & Reimbursement Data

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Vna Health Group Of 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

Related Providers

Nearby Providers

Frequently Asked Questions

References