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.

Advoserv Of New Jersey, Inc. (NPI 1801276852)

Field	Value
Entity Type	Organization
Organization	Advoserv Of New Jersey, Inc.
Address	510 Heron Dr Ste 114
City	Swedesboro
State	NJ
ZIP	08085
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	June 4, 2015

Payer Source	Total Paid
Medicaid	$101.9M
Medicare	$0

Key Findings

ADVOSERV OF NEW JERSEY, INC. is effectively a single-payer provider in the public sector: it has no Medicare billing on file and reports $101.9M in lifetime Medicaid revenue, indicating its operations are focused almost entirely on Medicaid-funded services rather than mixed Medicare/Medicaid care. This concentrated payer mix suggests programmatic alignment with state Medicaid waivers and behavioral health/intellectual and developmental disability (I/DD) service bundles rather than Medicare fee-for-service models.

Revenue is highly concentrated in a small set of Medicaid codes: the top three Medicaid codes account for 99.9% of the provider's total Medicaid revenue, with H2016 alone representing $87.1M (85.4% of Medicaid revenue) and T2021 accounting for $14.8M (14.5%). This concentration indicates that a very narrow set of service lines—comprehensive community support services and day habilitation—drive nearly all billed Medicaid revenue.

The dominant code, H2016 (Comprehensive community support services, per diem), makes up the bulk of the provider’s financial footprint: 193K claims for $87.1M and an in-state rank of #23 of 206 (89th percentile) suggest the provider delivers substantial per-diem community support services at a scale that is typical among higher-volume in-state peers rather than uniquely dominant. The volume and revenue mix imply a primary business model centered on daily community support for individuals with I/DD.

T2021 (Day habilitation, waiver; per 15 minutes) is the other major revenue driver with 106.9K claims and $14.8M in revenue, ranking #31 of 218 (86th percentile). This placement indicates the provider is a meaningful, above-average in-state participant in day habilitation services, supporting that its service portfolio includes structured habilitation programming alongside per-diem supports.

Smaller ancillary codes (A0090, H2015, T2019) together contribute negligible revenue relative to the two dominant codes—each is listed with revenue figures of $40.7K, $37.7K, and $23.1K respectively and ranks in lower percentiles statewide. These modest volumes for transportation and other per-15-minute services indicate that non-core service lines exist but are not material to the provider’s overall Medicaid revenue base.

The provider’s taxonomy as an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility aligns with the observed code mix: heavy use of H2016 and T2021 is consistent with residential and day habilitation supports typically funded through Medicaid waivers for I/DD populations. The billing profile therefore reflects programmatic specialization rather than broad medical or acute care services.

ADVOSERV’s NPI was enumerated on 2015-06-04 (~11 years ago), indicating about a decade of recorded participation in federal provider enrollment. This tenure supports the development of substantial Medicaid billing volume and the high cumulative revenue captured in the H2016 and T2021 codes over time.

Competitive standing within New Jersey appears solid but not singularly dominant: H2016 ranks in the 89th percentile and T2021 in the 86th percentile statewide, meaning the provider is a notable, above-typical participant for its primary service lines but not the clear market leader in those codes. The provider’s reliance on two codes for virtually all Medicaid revenue makes it vulnerable to rate or policy changes affecting those service lines.

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
H2016	Comprehensive community support services, per diem	193,050	$450	$87.1M
T2021	Day habilitation, waiver; per 15 minutes	106,910	$140	$14.8M
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	730	$60	$40.7K
H2015	Comprehensive community support services, per 15 minutes	380	$100	$37.7K
T2019	Habilitation, supported employment, waiver; per 15 minutes	220	$110	$23.1K

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

Advoserv Of New Jersey, Inc. — 0 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
H2016	Comprehensive community support services, per diem	23	210	23,310	$490	$41.9M
T2021	Day habilitation, waiver; per 15 minutes	31	220	14,500	$170	$7.7M
H2015	Comprehensive community support services, per 15 minutes	84	110	1,860	$140	$1.1M
T2019	Habilitation, supported employment, waiver; per 15 minutes	54	60	1,540	$110	$696.7K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	183	230	7,800	$10	$218.8K

Nearby Providers

Other providers in the same ZIP code as Advoserv Of New Jersey, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joshua Freedman	NJ	Dermatology Physician	$497.5K	$0
Sally Halim	NJ	Optometrist	$44.1K	$0

Advoserv Of New Jersey, Inc. — Billing Profile & Reimbursement Data

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Advoserv Of New Jersey, Inc. — 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

Nearby Providers

Frequently Asked Questions

References