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.

The Arc Of Somerset (NPI 1740472547)

Field	Value
Entity Type	Organization
Organization	The Arc Of Somerset
Address	141 S Main St
City	Manville
State	NJ
ZIP	08835
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	August 15, 2007

Payer Source	Total Paid
Medicaid	$72.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	161,520	$370	$59.9M
T2021	Day habilitation, waiver; per 15 minutes	94,750	$120	$10.9M
T2036	Therapeutic camping, overnight, waiver; each session	4,760	$260	$1.2M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	570	$90	$49.5K
T2019	Habilitation, supported employment, waiver; per 15 minutes	750	$60	$41.8K
H2014	Skills training and development, per 15 minutes	510	$50	$27K

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

The Arc Of Somerset — 1 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	36	210	23,310	$490	$41.9M
T2021	Day habilitation, waiver; per 15 minutes	34	220	14,500	$170	$7.7M
T2019	Habilitation, supported employment, waiver; per 15 minutes	44	60	1,540	$110	$696.7K
H2014	Skills training and development, per 15 minutes	96	160	990	$120	$462.7K
T2036	Therapeutic camping, overnight, waiver; each session	1	10	590	$330	$435.8K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	86	220	350	$60	$95.3K

Nearby Providers

Other providers in the same ZIP code as The Arc Of Somerset, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marco Ucciferri	NJ	Foot & Ankle Surgery Podiatrist	$308.1K	$0

The Arc Of Somerset — Billing Profile & Reimbursement Data

Sign up for The Arc Of Somerset — Billing Profile & Reimbursement Data policy alerts

The Arc Of Somerset — Billing Profile & Reimbursement Data

Sign up for The Arc Of Somerset — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References