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.

Cumberland County Guidance Center (NPI 1447337134)

Field	Value
Entity Type	Organization
Organization	Cumberland County Guidance Center
Address	2038 Carmel Rd
City	Millville
State	NJ
ZIP	08332
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$21.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	51,180	$90	$4.4M
S9480	Intensive outpatient psychiatric services, per diem	4,120	$820	$3.4M
T1017	Targeted case management, each 15 minutes	15,930	$210	$3.3M
T2034	Crisis intervention, waiver; per diem	3,220	$860	$2.8M
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…	19,270	$90	$1.7M
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…	15,730	$90	$1.4M
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	20,160	$60	$1.1M
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…	18,590	$60	$1M
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…	2,470	$360	$893.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,520	$150	$374.9K

Showing 1–10 of 19

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

Cumberland County Guidance Center — 2 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	49	170	21,080	$100	$4.2M
S9480	Intensive outpatient psychiatric services, per diem	13	30	3,840	$770	$3.3M
T1017	Targeted case management, each 15 minutes	19	50	12,510	$150	$3M
T2034	Crisis intervention, waiver; per diem	9	20	2,220	$860	$2.3M
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…	97	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…	49	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…	285	4,450	740	$40	$229.8K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	51	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…	105	3,790	580	$60	$204K
90832	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…	61	430	550	$50	$190.5K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Cumberland County Guidance Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valmar Surgical Supplies Inc	NJ	Durable Medical Equipment & Medical Supplies	$0	$86.4M
Cumberland County Guidance Center	NJ	Mental Illness Community Based Residential Treatment Facility	$0	$12.9M
Millville Board Of Education	NJ	Local Education Agency (LEA)	$0	$9.6M
Caring, Inc.	NJ	Assisted Living Facility	$0	$9M
Cumberland County Guidance Center	NJ	Community/Behavioral Health Agency	$0	$7.4M
Manuel Cunanan	NJ	Pulmonary Disease Physician	$280.7K	$0
Malgorzata Piszcz-connelly	NJ	Internal Medicine Physician	$199.3K	$0
Robert Coifman	NJ	Allergy & Immunology (Internal Medicine) Physician	$65.5K	$0

Cumberland County Guidance Center — Billing Profile & Reimbursement Data

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Cumberland County Guidance Center — 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