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.

Phoenix Behavioral Health LLC (NPI 1275938193)

Field	Value
Entity Type	Organization
Organization	Phoenix Behavioral Health LLC
Address	1014 Whitehead Road Ext
City	Ewing
State	NJ
ZIP	08638
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	November 4, 2014

Payer Source	Total Paid
Medicaid	$9.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	100,570	$90	$8.6M
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	68,920	$10	$620.2K
A0425	Ground mileage, per statute mile	69,250	$10	$346.2K
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…	40	$470	$20.8K
H2015	Comprehensive community support services, per 15 minutes	100	$70	$6.7K
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…	60	$120	$6.7K
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…	90	$70	$6.2K
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.	440	$10	$6.1K
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…	60	$90	$5.2K

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

Phoenix Behavioral Health LLC — 2 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	21	170	21,080	$100	$4.2M
H2015	Comprehensive community support services, per 15 minutes	100	110	1,860	$140	$1.1M
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…	655	720	1,690	$80	$629.2K
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…	365	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…	3,516	4,450	740	$40	$229.8K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	12	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…	3,148	3,790	580	$60	$204K
A0425	Ground mileage, per statute mile	16	430	3,700	$10	$106.9K
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.	238	660	190	$30	$42.6K

Nearby Providers

Other providers in the same ZIP code as Phoenix Behavioral Health LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Capital Health System Inc	NJ	General Acute Care Hospital	$0	$114.5M
Arc Mercer, Inc	NJ	Developmentally Disabled Services Day Training Agency	$0	$87.5M
Capital Health Medical Group	NJ	Internal Medicine Physician	$0	$19.3M
Senior Star Corp. Medical Day	NJ	Adult Day Care Clinic/Center	$0	$15.3M
Emergency Medical Associates Chs LLC	NJ	Emergency Medicine Physician	$0	$8.3M
Trenton Healthcare, LLC	NJ	Methadone Clinic	$39.9K	$7.5M
Hadia Ata	NJ	Anatomic Pathology & Clinical Pathology Physician	$1.8M	$0
Anusuya Jeyakumar	NJ	Geriatric Medicine (Internal Medicine) Physician	$276.2K	$6K
Biagio Manna	NJ	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$236.8K	$0
Nilesh Rana	NJ	Internal Medicine Physician	$144.2K	$50

Phoenix Behavioral Health LLC — Billing Profile & Reimbursement Data

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Phoenix Behavioral Health 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