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.

Children's Ambulatory Surgery Center Of New Jersey, LLC (NPI 1639452444)

Field	Value
Entity Type	Organization
Organization	Children's Ambulatory Surgery Center Of New Jersey, LLC
Address	14-01 Broadway
City	Fair Lawn
State	NJ
ZIP	07410
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	September 28, 2011

Payer Source	Total Paid
Medicaid	$12.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	10,010	$1,240	$12.4M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	40	$420	$16K
86328	The lab analyst performs a single–step immunoassay to qualitatively or semiquantitatively evaluate the patient’s specimen for antibodies to the severe acute respiratory syndrome coronavirus 2…	320	$1	$950
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	30	$0	$0

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

Children's Ambulatory Surgery Center Of New Jersey, LLC — 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	1	30	860	$1,530	$2.1M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	225	280	360	$560	$567.5K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	26	30	200	$130	$134K
86328	The lab analyst performs a single–step immunoassay to qualitatively or semiquantitatively evaluate the patient’s specimen for antibodies to the severe acute respiratory syndrome coronavirus 2…	6	30	60	$30	$11.1K

Nearby Providers

Other providers in the same ZIP code as Children's Ambulatory Surgery Center Of New Jersey, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Broadway Respite And Home Care, LLC	NJ	Home Health Agency	$0	$158.5M
Broadway Respite And Home Care, LLC	NJ	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$56.5M
Stay Well Services, Inc.	NJ	Home Health Agency	$0	$42.6M
Broadway Adult Medical Day Care Inc	NJ	Adult Day Care Clinic/Center	$0	$39.7M
New Jersey Adult Medical Day Care, Inc.	NJ	Adult Day Care Clinic/Center	$0	$17.7M
Nyrie Austin	NJ	Family Nurse Practitioner	$15.9M	$8.8K
Care Plus Nj, Inc	NJ	Community/Behavioral Health Agency	$0	$13.5M
Chemisys Laboratories, LLC	NJ	Clinical Medical Laboratory	$750.5K	$10.5M
Bergen-passaic Cataract Laser And Surgery Center, LLC	NJ	Ophthalmologic Surgery Clinic/Center	$3.2M	$1.1M
A & M Medical Services LLC	NJ	Land Ambulance	$3.2M	$925.2K

Children's Ambulatory Surgery Center Of New Jersey, LLC — Billing Profile & Reimbursement Data

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Children's Ambulatory Surgery Center Of New Jersey, LLC — 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