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.

Community Psychiatric Institute (NPI 1811053101)

Field	Value
Entity Type	Organization
Organization	Community Psychiatric Institute
Address	67 Sanford St
City	East Orange
State	NJ
ZIP	07018
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 29, 2006

Payer Source	Total Paid
Medicaid	$19.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	213,230	$80	$17.9M
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	116,790	$10	$934.3K
A0425	Ground mileage, per statute mile	116,070	$10	$580.4K
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…	1,250	$70	$86.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	530	$160	$85.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	870	$50	$40.1K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	470	$10	$5.2K

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

Community Psychiatric Institute — 3 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	3	170	21,080	$100	$4.2M
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…	1,846	4,450	740	$40	$229.8K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	2	230	7,800	$10	$218.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	215	550	280	$120	$131.8K
A0425	Ground mileage, per statute mile	4	430	3,700	$10	$106.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	465	1,520	260	$40	$71.9K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	221	660	190	$30	$42.6K

Nearby Providers

Other providers in the same ZIP code as Community Psychiatric Institute, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heart To Heart Health Care Services, LLC	NJ	Home Health Agency	$0	$149.5M
Eoh Acquisition Group, LLC	NJ	General Acute Care Hospital	$0	$41.2M
2nd Home East Orange LLC	NJ	Adult Day Care Clinic/Center	$0	$26.1M
Henry Hamilton	NJ	Addiction (Substance Use Disorder) Counselor	$0	$25.2M
Northeastern Professional Nurses Registry Inc	NJ	Home Health Agency	$0	$12.3M
Kwenyan Professional Health Services, LLC	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12.1M
Divine Healthcare Services, LLC.	NJ	Home Health Agency	$0	$11.7M
The Heart Center Of The Oranges	NJ	Cardiovascular Disease Physician	$0	$10.8M
Advantage Health And Social Services LLC	NJ	Home Health Agency	$0	$8.1M
Darshi Sunderam	NJ	Internal Medicine Physician	$152.6K	$1.1M

Community Psychiatric Institute — Billing Profile & Reimbursement Data

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Community Psychiatric Institute — 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