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.

Omnicare Behavior Health LLC (NPI 1407203441)

Field	Value
Entity Type	Organization
Organization	Omnicare Behavior Health LLC
Address	2539 Route 10
City	Morris Plains
State	NJ
ZIP	07950
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 19, 2016

Payer Source	Total Paid
Medicaid	$12.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	137,980	$90	$11.7M
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	39,310	$10	$353.7K
A0425	Ground mileage, per statute mile	39,290	$10	$196.4K
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…	1,300	$80	$97.6K
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…	120	$40	$5K
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…	10	$170	$2.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	40	$50	$2.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	10	$80	$1.1K

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

Omnicare Behavior Health LLC — 1 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	7	170	21,080	$100	$4.2M
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…	430	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…	3,345	4,450	740	$40	$229.8K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	40	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…	1,331	3,790	580	$60	$204K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	426	550	280	$120	$131.8K
A0425	Ground mileage, per statute mile	59	430	3,700	$10	$106.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	668	740	150	$100	$100.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tender Care	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$50.7M
Allegro School, Inc.	NJ	Developmentally Disabled Services Day Training Agency	$0	$28.5M
Athome Medical Inc	NJ	Oxygen Equipment & Supplies (DME)	$0	$18M
The Rose House, A New Jersey Non-profit Corporation	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.7M
Param Healthcare & It Services, Inc.	NJ	Adult Day Care Clinic/Center	$0	$12.8M
Angel De Dios Quintero	NJ	Anatomic Pathology & Clinical Pathology Physician	$241.3K	$0
Anthony Cifelli	NJ	Internal Medicine Physician	$111.1K	$0
Shannon Bey	NJ	Anatomic Pathology & Clinical Pathology Physician	$33.2K	$0

Omnicare Behavior Health LLC — Billing Profile & Reimbursement Data

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Omnicare Behavior 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