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.

Rainbow Healthcare Inc. (NPI 1811155393)

Field	Value
Entity Type	Organization
Organization	Rainbow Healthcare Inc.
Address	370 Campus Dr
City	Somerset
State	NJ
ZIP	08873
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	May 30, 2008

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5102	Day care services, adult; per diem	95,260	$80	$7.3M

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

Rainbow Healthcare Inc. — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5102	Day care services, adult; per diem	96	180	106,830	$80	$11.4M

Nearby Providers

Other providers in the same ZIP code as Rainbow Healthcare Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem New Jersey, Inc.	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$218M
Rwjbh Emergency Medicine Associates, LLC	NJ	Emergency Medicine Physician	$0	$117.8M
Everas Community Services, Inc.	NJ	Developmentally Disabled Services Day Training Agency	$0	$114.2M
Premier Supports, LLC	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$71.4M
Forever Young Medical Day Care	NJ	Adult Day Care Clinic/Center	$0	$35.8M
Audiology Services Company Usa, LLC	NJ	Hearing and Speech Clinic/Center	$0	$33.3M
Paradise Adult Day Healthcare LLC	NJ	Adult Day Care Clinic/Center	$0	$27M
National Mentor Healthcare, LLC	NJ	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$10.7M
Franklin Township Publc Schools	NJ	Local Education Agency (LEA)	$0	$9.3M
Jersey Behavioral Care LLC	NJ	Mental Health Counselor	$0	$8.7M

Rainbow Healthcare Inc. — Billing Profile & Reimbursement Data

Sign up for Rainbow Healthcare Inc. — Billing Profile & Reimbursement Data policy alerts

Rainbow Healthcare Inc. — Billing Profile & Reimbursement Data

Sign up for Rainbow Healthcare Inc. — 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