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 Jersey Institute For Disabilities Inc (NPI 1447602032)

Field	Value
Entity Type	Organization
Organization	New Jersey Institute For Disabilities Inc
Address	10a Oak Dr
City	Edison
State	NJ
ZIP	08837
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	July 7, 2016

Payer Source	Total Paid
Medicaid	$132.5M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only operator: there is no Medicare billing on file and the provider reports $132.5M in lifetime Medicaid revenue. The absence of Medicare activity indicates the entity’s business model and payer exposure are concentrated entirely in the Medicaid program.

Revenue is extremely concentrated in a very small set of services: the precomputed top 3 Medicaid codes account for 99.5% of the provider’s total Medicaid revenue. Specifically, H2016 represents $90.9M (68.6% of the provider’s Medicaid revenue) and T2021 represents $40.6M (30.6%), while H2021 contributes $356K (0.3%).

The code mix and taxonomy (Developmentally Disabled Services Day Training Agency) indicate this organization operates as a day habilitation and comprehensive community support provider for individuals with developmental disabilities. High volumes on H2016 (comprehensive community support services, per diem) and T2021 (day habilitation, waiver; per 15 minutes) point to a program structured around day programs and per-diem or per-15-minute habilitation billing rather than episodic medical services.

T2021 activity (252.1K claims, $161 avg paid/claim, $40.6M revenue) positions the provider as a statewide outlier in day habilitation: it ranks #6 of 218 providers in-state (98th percentile; labeled an extreme outlier, far above typical state volume for this code). This suggests market dominance or unusually large scale specifically in waiver-funded day habilitation services compared with peers.

H2016 (201.6K claims, $451 avg paid/claim, $90.9M revenue) is also a major revenue driver but is described as a more typical high-volume participant: it ranks #22 of 206 providers in-state (90th percentile; typical, unremarkable volume for this code). In practice this means the provider generates most of its revenue from comprehensive community support per-diem billing, but its standing on H2016 is sizable without being an extreme outlier.

Other listed codes are small contributors to revenue, indicating a narrow service mix: H2021 accounts for $356K (0.3% of Medicaid revenue) and ranks #94 of 194 providers (52th percentile; typical), while H0004 and T2019 each contribute roughly $300K ($305.4K and $304K respectively). These smaller volumes for behavioral health counseling and supported employment indicate ancillary services are present but do not materially diversify the provider’s revenue base.

The provider has an established operational history with NPI enumeration on 2016-07-07 (~10 years ago). Given that tenure combined with the highly concentrated revenue profile (dominated by H2016 and T2021), the provider appears to be a mature, specialized day-habilitation/community-support operator whose revenue and competitive position are closely tied to Medicaid waiver- and per-diem reimbursement for developmental disability services.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	201,610	$450	$90.9M
T2021	Day habilitation, waiver; per 15 minutes	252,110	$160	$40.6M
H2021	Community-based wrap-around services, per 15 minutes	3,300	$110	$356K
H0004	Behavioral health counseling and therapy, per 15 minutes	5,010	$60	$305.4K
T2019	Habilitation, supported employment, waiver; per 15 minutes	4,110	$70	$304K

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 Jersey Institute For Disabilities Inc — 1 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	22	210	23,310	$490	$41.9M
T2021	Day habilitation, waiver; per 15 minutes	6	220	14,500	$170	$7.7M
H2021	Community-based wrap-around services, per 15 minutes	94	190	3,010	$260	$3.1M
T2019	Habilitation, supported employment, waiver; per 15 minutes	20	60	1,540	$110	$696.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	16	60	1,570	$70	$253.4K

Nearby Providers

Other providers in the same ZIP code as New Jersey Institute For Disabilities Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grace Healthcare Services LLC	NJ	Community Based Hospice Care Agency	$0	$42.5M
Autism Community Services Inc.	NJ	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$20.3M
Edison Township Board Of Education	NJ	Local Education Agency (LEA)	$0	$8.7M
Mohammad Qureshi	NJ	Specialist	$6.8M	$818.3K
May Street Surgi Center, LLC	NJ	Ambulatory Surgical Clinic/Center	$689.8K	$6.2M
Home Care Services, Inc.	NJ	Home Infusion Therapy Pharmacy	$91.8K	$1.6M
Edison Surgery Center LLC	NJ	Ambulatory Surgical Clinic/Center	$1.4M	$0
Amjad Khan	NJ	Anatomic Pathology & Clinical Pathology Physician	$796K	$0
James Bentley	NJ	Anatomic Pathology & Clinical Pathology Physician	$743.1K	$0
Jianxiong Bao	NJ	Anatomic Pathology & Clinical Pathology Physician	$549K	$0

New Jersey Institute For Disabilities Inc — Billing Profile & Reimbursement Data

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New Jersey Institute For Disabilities 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