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.

Advantage Health And Social Services LLC (NPI 1528304318)

Field	Value
Entity Type	Organization
Organization	Advantage Health And Social Services LLC
Address	576 Central Ave
City	East Orange
State	NJ
ZIP	07018
Taxonomy	Home Health Agency
NPI Enumerated	December 24, 2012

Payer Source	Total Paid
Medicaid	$8.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	66,940	$120	$8.1M

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

Advantage Health And Social Services LLC — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	106	280	31,400	$90	$15.4M

Nearby Providers

Other providers in the same ZIP code as Advantage Health And Social Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heart To Heart Health Care Services, LLC	NJ	Home Health Agency	$0	$149.5M
Eoh Acquisition Group, LLC	NJ	General Acute Care Hospital	$0	$41.2M
2nd Home East Orange LLC	NJ	Adult Day Care Clinic/Center	$0	$26.1M
Henry Hamilton	NJ	Addiction (Substance Use Disorder) Counselor	$0	$25.2M
Community Psychiatric Institute	NJ	Community/Behavioral Health Agency	$0	$19.6M
Northeastern Professional Nurses Registry Inc	NJ	Home Health Agency	$0	$12.3M
Kwenyan Professional Health Services, LLC	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12.1M
Divine Healthcare Services, LLC.	NJ	Home Health Agency	$0	$11.7M
The Heart Center Of The Oranges	NJ	Cardiovascular Disease Physician	$0	$10.8M
Darshi Sunderam	NJ	Internal Medicine Physician	$152.6K	$1.1M

Advantage Health And Social Services LLC — Billing Profile & Reimbursement Data

Sign up for Advantage Health And Social Services LLC — Billing Profile & Reimbursement Data policy alerts

Advantage Health And Social Services LLC — Billing Profile & Reimbursement Data

Sign up for Advantage Health And Social Services LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References