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.

Prompt Care Nj LLC (NPI 1275199267)

Field	Value
Entity Type	Organization
Organization	Prompt Care Nj LLC
Address	7 Utah Court
City	Jackson
State	NJ
ZIP	08527
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	May 15, 2019

Payer Source	Total Paid
Medicaid	$31.1M
Medicare	$0

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 Code	Description	Claims	Avg Paid	Revenue
H2021	Community-based wrap-around services, per 15 minutes	58,530	$290	$17M
H2016	Comprehensive community support services, per diem	28,340	$500	$14.1M

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

Prompt Care Nj LLC — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	96	210	23,310	$490	$41.9M
H2021	Community-based wrap-around services, per 15 minutes	11	190	3,010	$260	$3.1M

Nearby Providers

Other providers in the same ZIP code as Prompt Care Nj LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spwa Services, LLC	NJ	Case Management Agency	$0	$8.7M
Township Of Jackson Board Of Education	NJ	Local Education Agency (LEA)	$0	$8.2M
Jackson Township First Aid Squad Inc	NJ	Land Ambulance	$535.5K	$198.5K
Joel Teopaco	NJ	Physical Therapist	$272.1K	$0
Nivedita Sharma	NJ	Internal Medicine Physician	$263.4K	$0
Keith Rosenthal	NJ	Podiatrist	$215.6K	$1.8K
Brian Schultz	NJ	Primary Podiatric Medicine Podiatrist	$203.8K	$0
Robert Pedowitz	NJ	Family Medicine Physician	$59.9K	$0

Prompt Care Nj LLC — Billing Profile & Reimbursement Data

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Prompt Care Nj LLC — 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