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.

Sunshine Advantage Of Nj LLC (NPI 1740800713)

Field	Value
Entity Type	Organization
Organization	Sunshine Advantage Of Nj LLC
Address	1439 South St
City	Lakewood
State	NJ
ZIP	08701
Taxonomy	Behavior Analyst
NPI Enumerated	April 20, 2020

Payer Source	Total Paid
Medicaid	$9.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	41,520	$180	$7.4M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	8,580	$120	$986.9K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	1,540	$210	$319.5K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	2,340	$130	$311.6K
H0032	Mental health service plan development by non-physician	1,310	$80	$98K

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

Sunshine Advantage Of Nj LLC — 2 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	1	70	1,710	$190	$1M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	5	60	410	$160	$302.6K
H0032	Mental health service plan development by non-physician	25	50	1,670	$30	$288.2K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	6	20	340	$180	$192.5K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	2	30	380	$120	$100.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sunshine Advantage Of Nj LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mya Ndiaye	MI	Mental Health Counselor	$0	$12.8M

Nearby Providers

Other providers in the same ZIP code as Sunshine Advantage Of Nj LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc Ocean County Chapter, Inc	NJ	In Home Supportive Care Agency	$0	$147.4M
Monmouth Medical Center Inc	NJ	General Acute Care Hospital	$0	$60.1M
Lakewood Resource And Referral Center Inc	NJ	Federally Qualified Health Center (FQHC)	$0	$46.8M
Lakewood Board Of Education	NJ	Local Education Agency (LEA)	$0	$43.9M
Teamcare LLC	NJ	In Home Supportive Care Agency	$0	$38.8M
I.m.e.m. Clinical Associates LLC	NJ	Specialist	$0	$27.8M
Eviancare LLC	NJ	In Home Supportive Care Agency	$0	$23.4M
Nj Dentistry For Children, P.A.	NJ	Pediatric Dentistry	$0	$21.9M
The Special Children Center	NJ	Developmentally Disabled Services Day Training Agency	$0	$17.4M
Precious Health Of Lakewood, PC	NJ	Pediatrics Physician	$0	$15.6M

Sunshine Advantage Of Nj LLC — Billing Profile & Reimbursement Data

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Sunshine Advantage Of Nj LLC — Billing Profile & Reimbursement Data

Sign up for Sunshine Advantage Of Nj LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References