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    OpenPayerNPI Medicare & MedicaidCaringhouse Projects
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    Caringhouse Projects — Billing Profile & Reimbursement Data

    NPI 1265802847 · Atlantic City, NJ · Respite Care

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    Caringhouse Projects is a respite care provider located in Atlantic City, New Jersey. This profile covers 0 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCaringhouse Projects
    Address14 S California Ave
    CityAtlantic City
    StateNJ
    ZIP08401
    TaxonomyRespite Care
    NPI EnumeratedSeptember 25, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$280.8M
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and generates all reported federal payer revenue from Medicaid, with total Medicaid revenue of $280.8M. In practical terms CARINGHOUSE PROJECTS is effectively a single-payer (Medicaid) biller in the available data rather than a dual-payer operation, so comparisons to Medicare activity are not possible from the claims record shown here.

    Revenue for this provider is extremely concentrated in a very small set of Medicaid codes: the precomputed top 3 Medicaid codes by revenue account for 100.0% of its Medicaid revenue. H2016 alone represents $265.8M (94.7% of the provider’s Medicaid revenue), while T2021 contributes $15M (5.3%).

    The code mix indicates the business is focused on community-based supportive services rather than episodic medical care: H2016 (Comprehensive community support services, per diem) is the dominant service line, suggesting the provider operates large-scale, per-diem community support programs consistent with its Respite Care taxonomy. The heavy per-diem billing pattern (H2016) points to sustained, ongoing support arrangements rather than short-term or procedure-driven encounters.

    T2021 (Day habilitation, waiver; per 15 minutes) accounts for a much smaller but measurable portion of revenue and reflects delivery of time-based day habilitation services, likely structured as 15-minute units of direct habilitation or day-program activities. With 71.1K claims and an average paid per claim of $211, this code represents a stable secondary service line complementing the per-diem community supports.

    On competitive standing for H2016 the provider ranks #6 of 206 in-state (98th percentile) and is labeled an "extreme outlier," indicating it is a dominant statewide provider for comprehensive community support services and operates at volumes far above typical peers. That high ranking signals major market presence and scale specifically for H2016 within New Jersey.

    By contrast, the provider’s position on T2021 is more modest: it ranks #48 of 218 in-state (78th percentile) and is characterized as a typical, unremarkable volume for this code. This suggests the organization is a meaningful but not leading participant in day habilitation relative to other in-state providers.

    The concentration of 94.7% of Medicaid revenue in a single service code (H2016) creates substantial revenue concentration risk: programmatic, policy, or rate changes affecting H2016 reimbursement could materially impact overall receipts because the provider derives nearly all Medicaid income from that service stream. Analysts should therefore interpret the provider’s financial footprint as highly dependent on continued payment and utilization of H2016 services.

    CARINGHOUSE PROJECTS has an NPI enumeration date of 2015-09-25 (~11 years ago), indicating a multi-year operating history in the Medicaid market. Combined with $280.8M in lifetime Medicaid revenue, the tenure and scale point to a well-established, high-volume Medicaid provider in New Jersey focused on community support and habilitation services.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    H2016Comprehensive community support services, per diem580,360$460$265.8M
    T2021Day habilitation, waiver; per 15 minutes71,120$210$15M

    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.

    Full comparison — all codes billed, vs. New Jersey median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2016Comprehensive community support services, per diem621023,310$490$41.9M
    T2021Day habilitation, waiver; per 15 minutes4822014,500$170$7.7M

    Nearby Providers

    Other providers in the same ZIP code as Caringhouse Projects, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Atlantic Emergency Associates, PANJEmergency Medicine Physician$0$12.9M
    Caring IncorporatedNJAssisted Living Facility$0$10.2M
    Paolo TempongkoNJRheumatology Physician$583.9K$0
    Ezinne NwotiteNJHospitalist Physician$445.2K$0
    Rajesh PatelNJDiagnostic Radiology Physician$430.6K$0
    Alan SimpsonNJDiagnostic Radiology Physician$342K$0
    Justin BaptistNJHospitalist Physician$339.4K$0
    Niraj JaniNJGastroenterology Physician$193.5K$0
    Jeffrey MillerNJUrology Physician$192K$0
    Farhan QadeerNJInternal Medicine Physician$151.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Jersey Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Caringhouse Projects — 1 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey