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.

Mental Health Association Of Essex And Morris, Inc. (NPI 1790721108)

Field	Value
Entity Type	Organization
Organization	Mental Health Association Of Essex And Morris, Inc.
Address	33 S Fullerton Ave
City	Montclair
State	NJ
ZIP	07042
Taxonomy	Mental Health Counselor
NPI Enumerated	June 22, 2006

Payer Source	Total Paid
Medicaid	$13.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	86,090	$80	$7M
H0039	Assertive community treatment, face-to-face, per 15 minutes	22,270	$90	$1.9M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	19,480	$90	$1.8M
H2015	Comprehensive community support services, per 15 minutes	13,870	$100	$1.4M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	5,800	$70	$411.4K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	40,840	$10	$326.7K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	520	$470	$246.9K
A0425	Ground mileage, per statute mile	40,820	$10	$204.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,610	$100	$162.1K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,120	$70	$80.8K

Showing 1–10 of 14

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

Mental Health Association Of Essex And Morris, Inc. — 0 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	27	170	21,080	$100	$4.2M
H0039	Assertive community treatment, face-to-face, per 15 minutes	11	40	12,010	$130	$2.6M
H2015	Comprehensive community support services, per 15 minutes	11	110	1,860	$140	$1.1M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	145	190	2,900	$110	$838.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	70	720	1,690	$80	$629.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	277	330	1,220	$50	$323.4K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	160	480	220	$260	$260.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	759	4,450	740	$40	$229.8K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	35	230	7,800	$10	$218.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,196	3,790	580	$60	$204K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Mental Health Association Of Essex And Morris, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Montclair Hospital LLC	NJ	General Acute Care Hospital	$0	$48.6M
Freehold Montclair Healthcare, LLC	NJ	Adult Day Care Clinic/Center	$0	$31.2M
Fadi El Atat	NJ	Cardiovascular Disease Physician	$288K	$1.1M
Montclair Ambulance Unit	NJ	Land Ambulance	$320.2K	$321.3K
Naveen Allam	NJ	Internal Medicine Physician	$558.1K	$0
Rowen Diano	NJ	Geriatric Medicine (Internal Medicine) Physician	$449.3K	$0
Joo Young Lee	NJ	Diagnostic Radiology Physician	$335.6K	$0
Nabila Hai	NJ	Diagnostic Radiology Physician	$278.8K	$0
Nirman Tulsyan	NJ	Vascular Surgery Physician	$268.8K	$0
Joseph Bellapianta	NJ	Orthopaedic Surgery Physician	$245.5K	$0

Mental Health Association Of Essex And Morris, Inc. — Billing Profile & Reimbursement Data

Sign up for Mental Health Association Of Essex And Morris, Inc. — Billing Profile & Reimbursement Data policy alerts

Mental Health Association Of Essex And Morris, 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