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.

Atlanticare Behvioral Health, Inc. (NPI 1265965289)

Atlanticare Behvioral Health, Inc. is a community/behavioral health agency provider located in Hammonton, New Jersey. This profile covers 0 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Atlanticare Behvioral Health, Inc.
Address	120 S White Horse Pike
City	Hammonton
State	NJ
ZIP	08037
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 6, 2017

Payer Source	Total Paid
Medicaid	$14M
Medicare	$0

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	14,380	$970	$14M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,270	$0	$0
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	530	$0	$0
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	4,180	$0	$0
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	13,150	$0	$0
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	2,780	$0	$0
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	1,100	$0	$0
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	3,550	$0	$0
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…	3,310	$0	$0
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	180	$0	$0

Showing 1–10 of 13

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

Atlanticare Behvioral Health, Inc. — 0 of 1 code 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	7	10	32,160	$750	$38.4M
T1017	Targeted case management, each 15 minutes	35	50	12,510	$150	$3M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	166	190	2,900	$110	$838.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	114	720	1,690	$80	$629.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	112	330	1,220	$50	$323.4K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	159	480	220	$260	$260.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,056	4,450	740	$40	$229.8K
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…	735	3,790	580	$60	$204K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	64	430	550	$50	$190.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	133	550	280	$120	$131.8K

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Atlanticare Behavioral Health, Inc	NJ	Community/Behavioral Health Agency	$0	$16.6M
Atlanticare Behavioral Health, Inc.	NJ	Community/Behavioral Health Agency	$0	$10.9M
Catherine Ottaviano	NJ	Clinical Social Worker	$57.7K	$0
Jawad Zafar	WV	Psychiatry Physician	$46.1K	$4.8K
Garrett Rossi	NJ	Psychiatry Physician	$36.8K	$0
Gregory Renck	NC	Psychiatry Physician	$20.1K	$360
Dwayne Narayan	AL	Psychiatry Physician	$17.3K	$2.1K
Noel Baker	VA	Psychiatry Physician	$5.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Onward Behavioral Health	NJ	Substance Abuse Rehabilitation Facility	$0	$61.1M
Allied Behavioral Healthcare Services	NJ	Community/Behavioral Health Agency	$0	$43.9M
Medilink Rxcare Hammonton, LLC	NJ	Community/Retail Pharmacy	$23.8K	$17.9M
Asapp Healthcare Inc	NJ	Community/Behavioral Health Agency	$0	$11.1M
Rt. 206 Inc.	NJ	Assisted Living Facility	$0	$8.8M
Young J. Lee	NJ	Interventional Pain Medicine Physician	$479.3K	$0
Amy Chojnacki	NJ	Adult Health Nurse Practitioner	$373.3K	$0
Matthew Crescenzo	NJ	Physical Therapist	$315.6K	$0
Amerigo Falciani	NJ	Diagnostic Radiology Physician	$303.8K	$0
Albert Belli	NJ	Pulmonary Disease Physician	$295.9K	$0

Atlanticare Behvioral Health, Inc. — Billing Profile & Reimbursement Data

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Atlanticare Behvioral Health, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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