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.

Center For Family Guidance, PC (NPI 1508803388)

Center For Family Guidance, PC is a geriatric psychiatry physician provider located in Marlton, New Jersey. This profile covers 0 Medicare and 18 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Center For Family Guidance, PC
Address	765 East Route 70
City	Marlton
State	NJ
ZIP	08053
Taxonomy	Geriatric Psychiatry Physician
NPI Enumerated	June 1, 2006

Payer Source	Total Paid
Medicaid	$11M
Medicare	$0

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	167,460	$30	$4.2M
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	154,460	$10	$2.2M
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…	25,480	$50	$1.3M
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…	23,670	$30	$757.5K
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…	2,530	$280	$716.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	5,470	$90	$502.8K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	6,360	$60	$369.1K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	5,570	$60	$334K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	9,810	$30	$294.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4,420	$40	$185.7K

Showing 1–10 of 18

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

Center For Family Guidance, PC — 9 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	201	260	4,240	$220	$4.1M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	82	140	1,410	$180	$1.3M
99281	The provider sees a patient for the lowest level emergency department visit.	82	90	750	$130	$281.3K
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…	48	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…	200	4,450	740	$40	$229.8K
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…	69	3,790	580	$60	$204K
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…	253	290	550	$60	$130.9K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	2	1,020	550	$30	$105.3K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	68	660	330	$40	$82K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	1	230	270	$20	$63.1K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Raymond Nwaneri	PA	Psychiatric/Mental Health Nurse Practitioner	$183.2K	$480
Khalid Bajwa	NJ	Psychiatry Physician	$39.7K	$0
Olanda Dreher	NJ	Primary Care Nurse Practitioner	$17.7K	$0
Taha Ansari	TX	Psychiatry Physician	$12.4K	$0
Ayesha Silman	PA	Child & Adolescent Psychiatry Physician	$10.1K	$0
Mark Alter	IL	Child & Adolescent Psychiatry Physician	$9.6K	$0
Kelly Kerrigan	NJ	Adolescent and Children Mental Health Clinic/Center	$1.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Devereux Foundation	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$400.8M
Merakey New Jersey	NJ	Community/Behavioral Health Agency	$0	$76M
Virtua Medical Group, PA	NJ	Family Medicine Physician	$0	$48M
Advocare, LLC	NJ	Pediatrics Physician	$0	$32.1M
Hba Management, Inc.	NJ	Children's Rehabilitation Hospital	$0	$30.4M
Greater New Jersey Creative Counseling	NJ	Community/Behavioral Health Agency	$0	$25.7M
Prestige Of Marlton Amdc LLC	NJ	Adult Day Care Clinic/Center	$0	$18.4M
Trinity Medical Laboratories	NJ	Clinical Medical Laboratory	$214.5K	$11.8M
Hba Management Inc	NJ	Medically Fragile Infants and Children Day Care	$0	$12M
Union Association Of The Children's Home Of Burlington County, Inc.	NJ	Community/Behavioral Health Agency	$0	$11.9M

Center For Family Guidance, PC — Billing Profile & Reimbursement Data

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Center For Family Guidance, PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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