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.

Golden Era Medical Adult Day Care LLC — Billing Profile & Reimbursement Data

NPI 1649469511 · Edison, NJ · Adult Day Care Clinic/Center

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Golden Era Medical Adult Day Care LLC is a adult day care clinic/center provider located in Edison, New Jersey. This profile covers 0 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Field	Value
Entity Type	Organization
Organization	Golden Era Medical Adult Day Care LLC
Address	36 Meridian Rd
City	Edison
State	NJ
ZIP	08820
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	October 17, 2007

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

Payer Source	Total Paid
Medicaid	$19.3M
Medicare	$0

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 Revenue by Year vs. New Jersey Providers

4 of 7 years billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

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
S5102	Day care services, adult; per diem	240,710	$80	$19.3M

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

Golden Era Medical Adult Day Care 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
S5102	Day care services, adult; per diem	34	180	106,830	$80	$11.4M

Nearby Providers

Other providers in the same ZIP code as Golden Era Medical Adult Day Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$72.1M
Community Hospital Group Inc	NJ	General Acute Care Hospital	$0	$71.5M
Sewa Adult Day Care LLC	NJ	Adult Care Home Facility	$0	$26.3M
Nirvana Adult Day Care LLC	NJ	Adult Day Care Clinic/Center	$0	$23.4M
Edison Adult Day Care Center, LLC	NJ	Adult Day Care Clinic/Center	$0	$16.9M
Care Forever Adult Day Care Center LLC	NJ	Adult Day Care Clinic/Center	$0	$13.6M
Rnj Services, Inc	NJ	Clinical Medical Laboratory	$5.8M	$7.5M
Avantic Medical Lab	NJ	Clinical Medical Laboratory	$604.6K	$5.7M
Q Answer Lab Inc	NJ	Clinical Medical Laboratory	$1.6M	$2.7M
Benjamin Spirn	NJ	Retina Specialist (Ophthalmology) Physician	$2.8M	$0

Frequently Asked Questions

References

1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
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.

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