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.

Children's Aid And Family Services, Inc. (NPI 1295285609)

Field	Value
Entity Type	Organization
Organization	Children's Aid And Family Services, Inc.
Address	200 Robin Rd
City	Paramus
State	NJ
ZIP	07652
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	October 10, 2016

Payer Source	Total Paid
Medicaid	$91M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file and all reported lifetime federal program revenue is Medicaid at $91M. The absence of Medicare volume means analyses and benchmarking should focus on Medicaid program rules, rates, and comparative in‑state peers rather than Medicare trends.

Revenue is highly concentrated in a very small set of Medicaid service codes: the precomputed top 3 codes account for 100.0% of this provider's total Medicaid revenue, with H2016 alone representing $80.9M (88.9%) and T2021 representing $10.1M (11.1%). This concentration indicates that most financial exposure and operational activity is tied to a narrow set of service lines.

The top revenue-driving codes map to community-based supportive and habilitation services, consistent with the provider taxonomy of an In Home Supportive Care Agency. H2016 (Comprehensive community support services, per diem) and T2021 (Day habilitation, waiver; per 15 minutes) indicate the organization primarily delivers ongoing community support and day habilitation rather than acute clinical procedures. This code mix suggests an operational model focused on long-duration, community‑oriented service delivery.

Operational intensity and unit economics are visible in the claims and average paid values: H2016 shows 139.5K claims at an average paid amount of $580 per claim, while T2021 shows 59.2K claims at $171 average paid per claim. The per‑diem nature and per‑15‑minute billing cadence imply staffing, scheduling, and travel logistics consistent with high-volume community support and habilitation programs.

Competitive standing within New Jersey is modest but not marginal: H2016 revenue ranks #50 of 206 providers in-state (76th percentile) and T2021 ranks #60 of 218 providers in-state (73th percentile). Both codes are described as typical, unremarkable volume relative to peers, meaning the provider is an upper‑mid‑percentile participant in these service lines rather than a statewide dominant leader.

The provider has an established billing history dating to NPI enumeration on 2016-10-10 (~10 years ago), indicating roughly a decade of participation in Medicaid programs. That tenure supports interpretation of these patterns as sustained rather than transient, which is relevant for forecasting and contracting discussions.

Because H2016 delivers 88.9% of Medicaid revenue, the organization faces material concentration risk if Medicaid policy, rate-setting, or utilization for comprehensive community support services changes. Analysts should prioritize monitoring H2016 policy updates, waiver changes, and state rate actions when assessing financial sensitivity.

From a market-position perspective, the combination of $91M in Medicaid revenue and a tightly focused code mix positions the provider as a specialized community support and day habilitation operator. This focused footprint can offer advantages in operational expertise for these service types but also limits diversification across other payer programs or clinical lines.

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
H2016	Comprehensive community support services, per diem	139,480	$580	$80.9M
T2021	Day habilitation, waiver; per 15 minutes	59,220	$170	$10.1M

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

Children's Aid And Family Services, Inc. — 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	50	210	23,310	$490	$41.9M
T2021	Day habilitation, waiver; per 15 minutes	60	220	14,500	$170	$7.7M

Nearby Providers

Other providers in the same ZIP code as Children's Aid And Family Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Concepts For Living	NJ	Developmentally Disabled Services Day Training Agency	$0	$123.8M
Care Plus Nj, Inc	NJ	Community/Behavioral Health Agency	$0	$38.1M
Bergen County Improvement Authority	NJ	General Acute Care Hospital	$0	$37.5M
Jewish Association For Developmental Disabilities	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$37.3M
The Valley Hospital Inc.	NJ	General Acute Care Hospital	$0	$31.5M
Bergen County Adult Day Care LLC	NJ	Adult Day Care Clinic/Center	$0	$28.7M
Help At Home Services	NJ	Home Health Agency	$0	$18.8M
Care Plus Nj, Inc	NJ	Community/Behavioral Health Agency	$0	$17.2M
Care Plus Nj, Inc.	NJ	Community/Behavioral Health Agency	$0	$17M
Bergen County Special Services School District	NJ	Local Education Agency (LEA)	$0	$15.4M

Children's Aid And Family Services, Inc. — Billing Profile & Reimbursement Data

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Children's Aid And Family Services, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References