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.

John Gore (NPI 1619337482)

Field	Value
Entity Type	Individual
Organization	John Gore
Address	2509 Park Ave Ste 2b
City	South Plainfield
State	NJ
ZIP	07080
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	March 7, 2016

Payer Source	Total Paid
Medicaid	$17.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	77,910	$210	$16M
H2014	Skills training and development, per 15 minutes	11,910	$110	$1.3M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	10	$340	$4.4K

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

John Gore — 1 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	54	60	100	$380	$2.8M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	6	390	2,500	$210	$1.6M
H2014	Skills training and development, per 15 minutes	11	160	990	$120	$462.7K

Nearby Providers

Other providers in the same ZIP code as John Gore, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Keystone Community Living, Inc.	NJ	Developmentally Disabled Services Day Training Agency	$0	$46.2M
Mintex N Tech	NJ	Home Health Agency	$0	$45.7M
Accurate Diagnostics Labs, Inc.	NJ	Clinical Medical Laboratory	$0	$37.8M
South Plainfield Day Care	NJ	Adult Day Care Clinic/Center	$0	$27M
Elite Care Managment LLC	NJ	Home Health Agency	$0	$22.8M
Livingston Infusion Care	NJ	Pharmacy	$410.1K	$19.3M
Apple Diagnostics Lab	NJ	Clinical Medical Laboratory	$212.8K	$18.9M
E&s Home Care Solutions LLC	NJ	Home Health Agency	$0	$8.2M
Circle Of Strength LLC	NJ	Home Health Agency	$0	$7.9M
Mmd Community Care	NJ	Community/Behavioral Health Agency	$0	$7.5M

John Gore — Billing Profile & Reimbursement Data

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John Gore — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References