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.

Abilities Of Northwest Jersey, Inc. (NPI 1679824528)

Field	Value
Entity Type	Organization
Organization	Abilities Of Northwest Jersey, Inc.
Address	264 State Route 31 N
City	Washington
State	NJ
ZIP	07882
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	October 1, 2012

Payer Source	Total Paid
Medicaid	$21.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2021	Day habilitation, waiver; per 15 minutes	155,510	$130	$20.1M
T2019	Habilitation, supported employment, waiver; per 15 minutes	5,060	$60	$323.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	6,200	$50	$297.7K
T2015	Habilitation, prevocational, waiver; per hour	8,020	$20	$192.5K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	3,330	$50	$163.1K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	18,320	$10	$109.9K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	1,320	$50	$64.7K

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

Abilities Of Northwest Jersey, Inc. — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2021	Day habilitation, waiver; per 15 minutes	15	220	14,500	$170	$7.7M
T2019	Habilitation, supported employment, waiver; per 15 minutes	18	60	1,540	$110	$696.7K
T2015	Habilitation, prevocational, waiver; per hour	19	70	2,810	$100	$671.2K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	58	190	860	$100	$534.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	10	60	1,570	$70	$253.4K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	73	230	7,800	$10	$218.8K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	49	220	350	$60	$95.3K

Nearby Providers

Other providers in the same ZIP code as Abilities Of Northwest Jersey, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc, Warren County Chapter	NJ	Developmentally Disabled Services Day Training Agency	$0	$65.3M
Tender Heart Supportive Services	NJ	Community/Behavioral Health Agency	$0	$11.3M
Family Guidance Center Of Warren County	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.1M
Lawrence Nisivoccia	NJ	Specialist	$2.4K	$0

Abilities Of Northwest Jersey, Inc. — Billing Profile & Reimbursement Data

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Abilities Of Northwest Jersey, Inc. — 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