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.

Avenues To Independent Living (NPI 1699011049)

Field	Value
Entity Type	Organization
Organization	Avenues To Independent Living
Address	304 S Broad St
City	Woodbury
State	NJ
ZIP	08096
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	December 12, 2012

Payer Source	Total Paid
Medicaid	$70.8M
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
H2016	Comprehensive community support services, per diem	88,610	$460	$40.5M
H2021	Community-based wrap-around services, per 15 minutes	86,490	$250	$22M
T2024	Service assessment/plan of care development, waiver	20,090	$300	$6M
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	16,670	$100	$1.6M
H2015	Comprehensive community support services, per 15 minutes	3,740	$140	$523.9K
T2019	Habilitation, supported employment, waiver; per 15 minutes	940	$150	$137.2K
T1005	Respite care services, up to 15 minutes	250	$330	$82.4K

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

Avenues To Independent Living — 1 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
H2016	Comprehensive community support services, per diem	66	210	23,310	$490	$41.9M
H2021	Community-based wrap-around services, per 15 minutes	7	190	3,010	$260	$3.1M
T2024	Service assessment/plan of care development, waiver	19	180	3,700	$300	$2.7M
H2015	Comprehensive community support services, per 15 minutes	39	110	1,860	$140	$1.1M
T2019	Habilitation, supported employment, waiver; per 15 minutes	39	60	1,540	$110	$696.7K
T1005	Respite care services, up to 15 minutes	32	40	830	$100	$313.7K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	75	230	7,800	$10	$218.8K

Nearby Providers

Other providers in the same ZIP code as Avenues To Independent Living, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Assoc. For Retarded Citizens, Inc. Gloucester County	NJ	Community/Behavioral Health Agency	$0	$71M
Inspira Medical Centers, Inc.	NJ	Emergency Care Clinic/Center	$0	$27.2M
Inspira Medical Center Woodbury, Inc.	NJ	General Acute Care Hospital	$0	$25M
Family Therapy And Consultation Services	NJ	Community/Behavioral Health Agency	$0	$23.7M
Dpsp Healthcare LLC	NJ	Assisted Living Facility	$0	$13M
Van Dautruche	NJ	Case Manager/Care Coordinator	$0	$10.1M
United Family Services	NJ	Community/Behavioral Health Agency	$0	$7.7M
Emergency Care Services Of New Jersey, PA	NJ	Emergency Medicine Physician	$0	$7.4M
South Jersey Endoscopy LLC	NJ	Ambulatory Surgical Clinic/Center	$647.3K	$732.2K
Kara Della Torre	NJ	Ophthalmology Physician	$1M	$0

Avenues To Independent Living — Billing Profile & Reimbursement Data

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Avenues To Independent Living — 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