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.

Universal Rehabilitation And Fitness, Inc. (NPI 1205927928)

Field	Value
Entity Type	Organization
Organization	Universal Rehabilitation And Fitness, Inc.
Address	15-17 Microlab Rd
City	Livingston
State	NJ
ZIP	07039
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	September 27, 2006

Payer Source	Total Paid
Medicaid	$191M
Medicare	$0

Key Findings

This provider is effectively single-payer in practice: there is no Medicare billing on file while reported Medicaid revenue totals $191M, indicating the organization’s entire documented public-payor footprint in these data is Medicaid. The NPI was enumerated 2006-09-27 (~20 years ago), so this is an established provider with long-tenure in the market.

Revenue is highly concentrated in a small set of service lines: the top three Medicaid codes (H2016, T2033, T2021) account for 82.1% of this provider’s total Medicaid revenue. Individually those codes are H2016 $94M (49.2%), T2033 $40.6M (21.2%), and T2021 $22.4M (11.7%), showing the business is dominated by a few per-diem and habilitation billing streams.

The code mix indicates an integrated residential and habilitation operation: H2016 (Comprehensive community support services, per diem), T2033 (Residential care, waiver; per diem), and T2021 (Day habilitation, waiver; per 15 minutes) together point to a model that combines residential waiver placements, day habilitation programming, and ongoing community support services rather than episodic acute care. High-volume per-diem and per-15-minute codes are consistent with long-stay clients receiving recurring supports and therapy throughout each week.

Competitive standing is mixed across those top codes: the provider is the top-ranked biller for T2033 (rank #1 of 4 in-state, 100th percentile), indicating dominance among the small set of in-state residential-waiver providers for that line. By contrast H2016 is ranked #51 of 206 (76th percentile; typical, unremarkable volume) and T2021 is ranked #38 of 218 (83th percentile; typical, unremarkable volume), showing it is a solid but not exceptional performer on community supports and day habilitation relative to broader in-state peers.

The organization runs a substantial therapy and habilitation footprint beyond per-diem residential billing: 97535 shows 48.2K claims and $4.1M revenue and ranks #1 of 218 providers in-state (100th percentile; extreme outlier, far above typical state volume), while 97110 (39.5K claims, $4.6M revenue) is at the 96th percentile and 97150 (32.2K claims, $2.9M revenue) is at the 95th percentile. These volumes and percentiles indicate a major emphasis on therapeutic exercise, therapeutic instruction, and supervised group therapies alongside residential and day services.

Several ancillary rehabilitation and behavioral codes are also concentrated at high percentiles: S5100 (122K claims, $9.6M revenue) is #1 of 5 (100th percentile; typical), S8990 is #2 of 22 (95th percentile; notably above typical), and both 92507 and 92508 (speech services, ~22K claims each) sit in very high percentiles (96th and 100th respectively). This pattern underscores a broad multidisciplinary service mix—physical, occupational, speech, and cognitive/behavioral interventions—delivered at scale.

From an analytic perspective the combination of a dominant position in T2033 plus extreme outlier volume on 97535 and multiple 100th-percentile ranks (e.g., T2033, 97535, 92508, 96153/96165/96164) signals concentration risk in a few program lines and suggests the provider’s Medicaid revenue is dependent on continued authorization/payment of specific waiver and therapy services. Analysts reviewing capacity, contract terms, or utilization drivers should expect most revenue to flow from those concentrated waiver and habilitation codes.

Operationally, the mix of per-diem residential codes and high-volume per-15-minute habilitation/therapy codes (H2016, T2033, T2021 alongside 97110/97150/97535 and speech codes) implies the provider operates both residential settings and daily program sites where onsite therapists deliver repeated sessions. The large aggregate Medicaid revenue ($191M) together with the long-tenure NPI makes this provider a sizable Medicaid service provider in-state with a service model oriented toward ongoing residential and habilitative care rather than episodic outpatient or Medicare-driven services.

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	139,450	$670	$94M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	172,640	$240	$40.6M
T2021	Day habilitation, waiver; per 15 minutes	93,210	$240	$22.4M
S5100	Day care services, adult; per 15 minutes	121,950	$80	$9.6M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	39,540	$120	$4.6M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	48,180	$90	$4.1M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	32,200	$90	$2.9M
S8990	Physical or manipulative therapy performed for maintenance rather than restoration	26,770	$80	$2.2M
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…	22,150	$100	$2.1M
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	22,820	$90	$2M

Showing 1–10 of 19

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

Universal Rehabilitation And Fitness, Inc. — 10 of 17 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	51	210	23,310	$490	$41.9M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	1	10	111,860	$210	$25.5M
T2021	Day habilitation, waiver; per 15 minutes	38	220	14,500	$170	$7.7M
S5100	Day care services, adult; per 15 minutes	1	10	77,690	$70	$5M
G0515	Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes	3	10	6,930	$160	$1.2M
97130	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	3	10	14,200	$70	$1.1M
S8990	Physical or manipulative therapy performed for maintenance rather than restoration	2	20	2,470	$120	$639K
96165	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	1	10	9,030	$50	$558.1K
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…	8	190	860	$100	$534.8K
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	1	10	8,750	$40	$504.4K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Universal Rehabilitation And Fitness, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc Of Essex County, Inc	NJ	In Home Supportive Care Agency	$0	$158.9M
Cooperman Barnabas Medical Center Inc	NJ	General Acute Care Hospital	$0	$136.8M
Pm Pediatrics Of Livingston, PLLC	NJ	Urgent Care Clinic/Center	$0	$40.5M
Jewish Service For The Developmentally Disabled Of Metrowest, Inc.	NJ	Developmentally Disabled Services Day Training Agency	$0	$40.2M
Tyce LLC	NJ	Home Health Agency	$0	$19.3M
The Children's Institute	NJ	Developmentally Disabled Services Day Training Agency	$0	$17.3M
Rwjbh Observation Associates LLC	NJ	Emergency Medicine Physician	$0	$15.9M
Atlantic Ambulance Corp.	NJ	Ambulance	$8.8M	$6.3M
Vitas Healthcare Corporation Atlantic	NJ	Community Based Hospice Care Agency	$0	$11.1M
Saint Barnabas Outpatient Centers	NJ	Radiology Clinic/Center	$3.1M	$5.8M

Universal Rehabilitation And Fitness, Inc. — Billing Profile & Reimbursement Data

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Universal Rehabilitation And Fitness, 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