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 Of Cape May County (NPI 1255714689)

Field	Value
Entity Type	Organization
Organization	The Arc Of Cape May County
Address	927 Court House South Dennis Rd Fl 2
City	Cape May Court House
State	NJ
ZIP	08210
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	July 2, 2015

Payer Source	Total Paid
Medicaid	$53.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	153,150	$330	$50.1M
T2021	Day habilitation, waiver; per 15 minutes	21,780	$170	$3.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	410	$70	$29.2K

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 Of Cape May County — 0 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	41	210	23,310	$490	$41.9M
T2021	Day habilitation, waiver; per 15 minutes	96	220	14,500	$170	$7.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	43	60	1,570	$70	$253.4K

Nearby Providers

Other providers in the same ZIP code as The Arc Of Cape May County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cooper University Hospital Cape Regional Inc	NJ	General Acute Care Hospital	$0	$39.6M
Rainbow Pediatrics PC	NJ	Pediatrics Physician	$0	$9.3M
Ars Of Rio Grande, LLC	NJ	Methadone Clinic	$139.7K	$8.4M
Atlanticare Surgery Center Cape May - L.L.C.	NJ	Ambulatory Surgical Clinic/Center	$779K	$0
Ankur Shah	NJ	Diagnostic Radiology Physician	$502.1K	$0
Subhash Mehta	NJ	Internal Medicine Physician	$449.5K	$350
Danielle Ponzio	NJ	Orthopaedic Surgery Physician	$418.5K	$0
Cape Cataract Center, PC	NJ	Ambulatory Surgical Clinic/Center	$412.2K	$0
Domenic Pastore	NJ	Specialist	$412.1K	$0
Louis Capecci	NJ	Diagnostic Radiology Physician	$404.1K	$0

The Arc Of Cape May County — Billing Profile & Reimbursement Data

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The Arc Of Cape May County — 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