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.

Newark Public Schools (NPI 1447472980)

Field	Value
Entity Type	Organization
Organization	Newark Public Schools
Address	2 Cedar St.
City	Newark
State	NJ
ZIP	07102
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	May 3, 2007

Payer Source	Total Paid
Medicaid	$145.8M
Medicare	$0

Key Findings

This entity has no Medicare billing on file and is effectively a Medicaid-focused provider, reporting Total Medicaid revenue of $145.8M. The lack of Medicare activity combined with the provider taxonomy of Local Education Agency (LEA) signals that its reimbursement footprint is concentrated entirely in state Medicaid for school-based services and related supports.

Revenue is extremely concentrated in three codes: the top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue. The three codes are T1018 ($82.2M, 56.4%), 99361 ($60.1M, 41.2%), and A0130 ($3.4M, 2.3%), together composing the provider's entire reported Medicaid revenue base.

Code-level volumes and unit payments show two distinct operating modes: T1018 has very high volume (884.4K claims) with a low average paid/claim ($93), 99361 has moderate volume (33.6K claims) with a very high average paid/claim ($1789), and A0130 has large volume (118.1K claims) with a low average paid/claim ($29). This mix suggests routine, high-frequency school-based service delivery paired with a smaller set of higher-unit-value claims.

Business and service-line implications drawn from code descriptions and taxonomy point to school-based special education and IEP-related services as the core operation: T1018 is described as School-based individualized education program (iep) services (bundled), A0130 covers non-emergency transportation (wheelchair van), and numerous therapy/rehab codes appear in the claim set. The LEA taxonomy and dominant T1018 activity are consistent with a district-operated school health and special education billing profile.

Competitive standing within New Jersey is pronounced for the top codes: T1018 ranks #2 of 351 providers in-state and is labeled an "extreme outlier" (100th percentile), 99361 ranks #2 of 269 providers in-state and is also an "extreme outlier" (100th percentile), and A0130 ranks #1 of 13 providers in-state (100th percentile; extreme outlier). These ranks indicate the provider is a major, statewide outlier in volume and revenue for its primary Medicaid services.

Although a range of therapy and related CPT/HCPCS codes appear on file, they are immaterial to overall Medicaid revenue. Examples include 92508 ($19.5K), 97110 ($9.3K), 97530 ($4.8K) and several other therapy codes that each account for 0.0% of total Medicaid revenue and sit at low to mid-state percentiles, indicating these services are operationally present but not revenue drivers.

The concentration of revenue in T1018 and 99361 creates a material exposure to reimbursement, policy, or eligibility changes affecting those codes; with the top two codes together representing 56.4% and 41.2% respectively (and the top 3 totaling 100.0%), shifts to school-based payment rules or transportation policy could meaningfully affect this provider's fiscal position.

The provider has an established presence with NPI enumeration dated 2007-05-03 (~19 years ago), reinforcing that this is a long-tenured, district-level Medicaid billing entity. Combined with the LEA taxonomy and the code mix, the profile is consistent with a longstanding school system concentrating Medicaid billing on IEP services and related student supports.

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1018	School-based individualized education program (iep) services, bundled	884,390	$90	$82.2M
99361	N/A	33,590	$1,790	$60.1M
A0130	Non-emergency transportation: wheelchair van	118,080	$30	$3.4M
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	980	$20	$19.5K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	250	$40	$9.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	130	$40	$4.8K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	210	$20	$4.2K
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	60	$30	$2.2K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	50	$40	$2K
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…	70	$20	$1.5K

Showing 1–10 of 14

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

Newark Public Schools — 3 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1018	School-based individualized education program (iep) services, bundled	2	350	13,100	$120	$4.6M
99361	N/A	2	270	380	$1,610	$2.3M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	162	190	860	$100	$534.8K
A0130	Non-emergency transportation: wheelchair van	1	10	2,430	$30	$479.1K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	35	40	1,130	$50	$363.2K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	2	10	570	$90	$278.4K
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…	347	430	550	$50	$190.5K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	441	520	1,020	$40	$177.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	569	730	1,350	$20	$155.4K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	193	220	350	$60	$95.3K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Newark Public Schools, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prime Healthcare Services - St Michaels LLC	NJ	General Acute Care Hospital	$0	$67.7M
Progressive Home Care, Inc.	NJ	Home Health Agency	$0	$15.6M
Team Academy Charter Schools	NJ	Local Education Agency (LEA)	$0	$7.7M
Ogori Kalu	NJ	Surgical Oncology Physician	$425.5K	$0
Stephen Abo	NJ	Hematology & Oncology Physician	$394.8K	$0
Amol Shah	NJ	Gastroenterology Physician	$205.4K	$168.7K
Ghassan Chehade	NJ	Cardiovascular Disease Physician	$186.2K	$106.4K
Nathan Mohseni	NJ	Emergency Medicine Physician	$171.2K	$0
Justin Pi	NJ	Pulmonary Disease Physician	$130.1K	$0
Livinus Adibe	NJ	Internal Medicine Physician	$107.5K	$0

Newark Public Schools — Billing Profile & Reimbursement Data

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Newark Public Schools — 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