Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidBroadstep Academy-new Jersey, Inc.
    Ask Trek AI about this page

    Broadstep Academy-new Jersey, Inc. — Billing Profile & Reimbursement Data

    NPI 1598898603 · Sparta, NJ · Intellectual and/or Developmental Disabilities Residential Treatment Facility

    Customize your policy alerts

    Sign up for Broadstep Academy-new Jersey, Inc. — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Broadstep Academy-new Jersey, Inc. is a intellectual and/or developmental disabilities residential treatment facility provider located in Sparta, New Jersey. This profile covers 0 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationBroadstep Academy-new Jersey, Inc.
    Address8 Wilson Dr.
    CitySparta
    StateNJ
    ZIP07871
    TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
    NPI EnumeratedMarch 14, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$137.1M
    Medicare$0

    Key Findings

    This provider is effectively single-payer: there is no Medicare billing on file while total Medicaid revenue is $137.1M, indicating the organization’s operations and financial exposure are concentrated in Medicaid programs rather than Medicare. Analysts should treat Medicaid policy and waiver changes as the primary revenue risk driver for this entity.

    Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicaid codes account for 99.9% of the provider’s total Medicaid revenue, signaling that a few program lines drive nearly all billing activity and budgetary performance. This concentration suggests limited diversification across Medicaid service types.

    H2016 is the dominant revenue driver for this provider, accounting for $116.8M and 85.2% of Medicaid revenue; it ranks #62 of 206 providers in-state (70th percentile), characterized as typical, unremarkable volume for this code. The scale of H2016 billing confirms the organization’s core business is centered on comprehensive community support services billed at a per diem rate.

    T2021 is the second major line, contributing $20M and 14.6% of Medicaid revenue and ranking #52 of 218 providers in-state (76th percentile), another indication of a sizable but typical footprint in day habilitation under waiver programs. The presence of both per-diem community supports (H2016) and per-15-minute habilitation (T2021) implies the provider operates a combined residential and community habilitation model common to Intellectual and/or Developmental Disabilities Residential Treatment Facilities.

    H0004 (behavioral health counseling and therapy, per 15 minutes) appears in the top codes but contributes only $184.8K (0.1% of Medicaid revenue); it ranks #12 of 64 providers in-state (83th percentile). This pattern shows counseling/therapy services are offered and relatively high-ranked among a smaller peer set, yet they represent a negligible share of overall revenue compared with the dominant habilitative and community support lines.

    Smaller ancillary codes such as A0090 (non-emergency transportation) with $76K (0.1%) and T2019 (supported employment) with $50.6K (0.0%) indicate the provider bills some transport and employment-support services but at minimal revenue levels. These lines are marginal to the provider’s financial profile and do not materially diversify the revenue base.

    Despite large absolute Medicaid dollars ($137.1M), the provider’s in-state ranks for its two largest codes (H2016 at the 70th percentile and T2021 at the 76th percentile) describe it as a solid but not dominant participant in those markets; both ranks are characterized as typical or unremarkable in statewide context. In short, the provider is a significant Medicaid revenue generator by dollar volume but not an outlier leader in per-code market share.

    The provider has an established tenure on file, with NPI enumerated 2007-03-14 (~19 years ago), indicating long-standing participation in Medicaid programs; this longevity supports interpretation of the billing mix as stable and programmatic rather than transitory. Analysts should combine tenure with the heavy reliance on H2016/T2021 when assessing operational resilience and policy sensitivity.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    H2016Comprehensive community support services, per diem97,900$1,190$116.8M
    T2021Day habilitation, waiver; per 15 minutes65,930$300$20M
    H0004Behavioral health counseling and therapy, per 15 minutes5,960$30$184.8K
    A0090Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest680$110$76K
    T2019Habilitation, supported employment, waiver; per 15 minutes600$90$50.6K

    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.

    Full comparison — all codes billed, vs. New Jersey median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2016Comprehensive community support services, per diem6221023,310$490$41.9M
    T2021Day habilitation, waiver; per 15 minutes5222014,500$170$7.7M
    T2019Habilitation, supported employment, waiver; per 15 minutes46601,540$110$696.7K
    H0004Behavioral health counseling and therapy, per 15 minutes12601,570$70$253.4K
    A0090Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest1852307,800$10$218.8K

    Nearby Providers

    Other providers in the same ZIP code as Broadstep Academy-new Jersey, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    May Abdo-matkiwskyNJHematology & Oncology Physician$2.6M$0
    Jumana ChatiwalaNJInternal Medicine Physician$1.3M$0
    Kathy LoNJRadiation Oncology Physician$1.2M$0
    Specialty Surgical Center LLCNJClinic/Center$739.7K$0
    Anthony PapadopoulosNJDermatology Physician$505K$0
    Hector CorderoNJDiagnostic Radiology Physician$491.7K$0
    Premier Health Associates, LLCNJClinic/Center$440.7K$0
    Alex ShinNJOrthopaedic Surgery Physician$376.6K$0
    Haroon SarwarNJRheumatology Physician$363.9K$0
    Frederick CorioNJDiagnostic Radiology Physician$338K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Jersey Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Broadstep Academy-new Jersey, Inc. — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey