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.

Medallion Care Trenton (NPI 1235564360)

Field	Value
Entity Type	Organization
Organization	Medallion Care Trenton
Address	1 Electronics Dr
City	Hamilton
State	NJ
ZIP	08619
Taxonomy	Adult Mental Health Clinic/Center
NPI Enumerated	September 9, 2013

Payer Source	Total Paid
Medicaid	$8.8M
Medicare	$0

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
H0035	Mental health partial hospitalization, treatment, less than 24 hours	89,210	$90	$7.9M
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	68,040	$10	$612.4K
A0425	Ground mileage, per statute mile	67,980	$10	$339.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	860	$20	$19.8K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	120	$120	$14.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	80	$80	$6.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	240	$20	$3.9K

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

Medallion Care Trenton — 1 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
H0035	Mental health partial hospitalization, treatment, less than 24 hours	26	170	21,080	$100	$4.2M
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	13	230	7,800	$10	$218.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	2,974	3,790	580	$60	$204K
A0425	Ground mileage, per statute mile	18	430	3,700	$10	$106.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	407	740	150	$100	$100.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	469	1,520	260	$40	$71.9K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	298	660	190	$30	$42.6K

Nearby Providers

Other providers in the same ZIP code as Medallion Care Trenton, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Capitol County Children's Collaborative	NJ	Exclusive Provider Organization	$0	$63.1M
Carnegie Healthcare Corporation	NJ	Nursing Care Agency	$0	$19.2M
Grace And Heart Home Care LLC	NJ	Home Health Agency	$0	$13M
Catholic Charities, Diocese Of Trenton	NJ	Case Management Agency	$0	$9.1M
Senior Care Centers Of America, Inc.	NJ	Adult Day Care Clinic/Center	$0	$8.6M
Sc Health LLC	NJ	Home Health Agency	$0	$8.3M
Prism Support Services, LLC	NJ	Case Management Agency	$0	$8.1M
Rainbow Children's Medical Day Care LLC	NJ	Medically Fragile Infants and Children Day Care	$0	$7.9M
Shahid Meer	NJ	Pulmonary Disease Physician	$181.5K	$1.2M
Hamilton Surgery Center L.L.C.	NJ	Ambulatory Surgical Clinic/Center	$513.5K	$348.4K

Medallion Care Trenton — Billing Profile & Reimbursement Data

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Medallion Care Trenton — 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