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.

Bancroft, A New Jersey Nonprofit Corporation (NPI 1720121106)

Field	Value
Entity Type	Organization
Organization	Bancroft, A New Jersey Nonprofit Corporation
Address	1255 Caldwell Rd
City	Cherry Hill
State	NJ
ZIP	08033
Taxonomy	Rehabilitation Clinic/Center
NPI Enumerated	February 15, 2007

Payer Source	Total Paid
Medicaid	$560.9M
Medicare	$0

Key Findings

BANCROFT is effectively a single-payer Medicaid provider: there is no Medicare billing on file while lifetime Medicaid revenue totals $560.9M, indicating the organization’s operations and revenue base are concentrated almost entirely in Medicaid-funded services. This strong Medicaid dependence shapes its service mix, payer risk exposure, and contracting priorities.

Revenue concentration is extreme: the top 3 Medicaid codes (H2016, T2021, T2025) account for 91.7% of the provider's total Medicaid revenue. H2016 alone contributes $416.7M (74.3% of Medicaid revenue), showing that a single per-diem community support service dominates the organization’s billing and financial profile.

Service-line profile suggests a rehabilitation and long-term habilitation focus: the largest revenue drivers are H2016 (Comprehensive community support services), T2021 (Day habilitation, waiver), and T2025 (Waiver services nos), complemented by multiple habilitation, residential, and therapeutic therapy codes (e.g., T2033, T2019, 97535, 97110). This mix aligns with a rehabilitation clinic/center delivering community supports, day habilitation, residential waiver services, and related therapy/skills training.

The provider is a statewide market leader for several high‑volume waiver and habilitation codes: it ranks #1 in-state for H2016, T2021, T2025, and T2019 and is described as an "extreme outlier" or 100th percentile for those codes. These rankings indicate dominant scale in New Jersey for community support and day habilitation services compared with peers.

While dominant on the largest codes, there is variability across secondary services: several therapy-related codes (97535, 97110, 92507, H2014, T1001) are at or above the 90th percentile in-state and described as "notably above typical" or "extreme outlier" for some, indicating that BANCROFT also provides substantial ancillary therapy and skills training in addition to core waiver services. Other codes (e.g., T2033, S5100, 97130) show more typical volumes relative to peers, reflecting a mixed breadth of service intensity.

Tenure is long-standing: the provider’s NPI was enumerated on 2007-02-15 (~19 years ago), indicating established operations and an extended presence in the New Jersey Medicaid market. That longevity likely supports the provider’s capacity to manage large volumes of waiver and community support claims.

The code-level payer mix and ranking pattern imply operational scale concentrated in per-diem and time-based habilitation services rather than episodic acute care: large per-diem codes (H2016, T2033, T2016) and per-15-minute habilitation codes (T2021, T2019, H2014) make up the core billing profile, consistent with continuous or recurring supportive services for beneficiaries.

Given the extreme revenue concentration in a few codes (91.7% from the top three), the organization faces business risk tied to policy, rate, or utilization changes affecting those specific waiver and community support services. Any reimbursement policy adjustments to H2016 or T2021 would disproportionately affect the provider’s Medicaid revenue.

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	890,340	$470	$416.7M
T2021	Day habilitation, waiver; per 15 minutes	419,000	$160	$64.9M
T2025	Waiver services; not otherwise specified (nos)	64,300	$510	$32.7M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	93,820	$210	$19.8M
T2019	Habilitation, supported employment, waiver; per 15 minutes	57,190	$120	$6.8M
S5100	Day care services, adult; per 15 minutes	75,890	$70	$5.2M
T2016	Habilitation, residential, waiver; per diem	2,720	$890	$2.4M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	20,920	$110	$2.2M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	20,330	$100	$2M
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…	16,270	$120	$2M

Showing 1–10 of 29

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

Bancroft, A New Jersey Nonprofit Corporation — 8 of 25 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

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	1	210	23,310	$490	$41.9M
T2025	Waiver services; not otherwise specified (nos)	1	10	50,350	$530	$26.6M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	4	10	111,860	$210	$25.5M
T2021	Day habilitation, waiver; per 15 minutes	1	220	14,500	$170	$7.7M
S5100	Day care services, adult; per 15 minutes	4	10	77,690	$70	$5M
T2016	Habilitation, residential, waiver; per diem	2	10	3,560	$510	$1.8M
G0515	Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes	4	10	6,930	$160	$1.2M
97130	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	5	10	14,200	$70	$1.1M
T2019	Habilitation, supported employment, waiver; per 15 minutes	1	60	1,540	$110	$696.7K
T2015	Habilitation, prevocational, waiver; per hour	8	70	2,810	$100	$671.2K

Showing 1–10 of 29

Related Providers

Other providers that share a Tax Identification Number (TIN) with Bancroft, A New Jersey Nonprofit Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tiffany Channing	NJ	Clinical Psychologist	$27.4K	$0
Sarah West	NJ	Clinical Neuropsychologist	$25.7K	$0

Nearby Providers

Other providers in the same ZIP code as Bancroft, A New Jersey Nonprofit Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Winding Way	NJ	Developmentally Disabled Services Day Training Agency	$0	$15M
Karen Suchin	NJ	Procedural Dermatology Physician	$169.4K	$0
Fazlollah Golestaneh	NJ	Diagnostic Radiology Physician	$87K	$0
Derek Aita	NJ	Clinical Psychologist	$53.7K	$6.5K
Esra Neale	NJ	Registered Nurse	$4.5K	$0
Guy Lanzi	NJ	Oral and Maxillofacial Surgery (Dentist)	$1.7K	$0

Bancroft, A New Jersey Nonprofit Corporation — Billing Profile & Reimbursement Data

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Bancroft, A New Jersey Nonprofit Corporation — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References