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.

New Hope Foundation, Inc. (NPI 1447289186)

Field	Value
Entity Type	Organization
Organization	New Hope Foundation, Inc.
Address	80 Conover Rd
City	Marlboro
State	NJ
ZIP	07746
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	July 3, 2006

Payer Source	Total Paid
Medicaid	$30.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	10,340	$1,410	$14.5M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	10,320	$1,350	$14M
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…	1,990	$470	$941.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4,700	$170	$784.4K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	4,840	$50	$218K
99203	The provider sees a new 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 provider…	290	$60	$17.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	350	$30	$8.8K
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…	40	$40	$1.8K
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	240	$10	$1.2K
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.	10	$20	$210

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

New Hope Foundation, Inc. — 1 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	5	10	8,920	$680	$9.1M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	9	60	100	$380	$2.8M
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…	60	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…	3,803	4,450	740	$40	$229.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	28	550	280	$120	$131.8K
99203	The provider sees a new 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 provider…	570	1,460	150	$80	$97.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	680	1,520	260	$40	$71.9K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	37	350	230	$20	$50.7K
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.	616	660	190	$30	$42.6K
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	121	160	980	$1	$13.5K

Nearby Providers

Other providers in the same ZIP code as New Hope Foundation, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Empower U.	NJ	Community/Behavioral Health Agency	$0	$46.7M
Discovery Institute For Addictive Disorders	NJ	Substance Abuse Rehabilitation Facility	$0	$42.2M
Apex Ambulance Corp	NJ	Ambulance	$737.2K	$168.2K
Amor Mehta	NJ	Neurology Physician	$512.5K	$0
Gary Yen	NJ	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$360.3K	$0
Jae Park	NJ	Physical Therapist	$289K	$0
Jun Li	NJ	Anesthesiology Physician	$92.2K	$100.3K
Zain Husain	NJ	Dermatology Physician	$187.5K	$0
Anthony Benjamin	NJ	Physical Therapist	$184.8K	$0
Steve Weintraub	NJ	Sports Medicine (Family Medicine) Physician	$126.1K	$0

New Hope Foundation, Inc. — Billing Profile & Reimbursement Data

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New Hope Foundation, 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

Nearby Providers

Frequently Asked Questions

References