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.

Ladacin Network (NPI 1811376395)

Field	Value
Entity Type	Organization
Organization	Ladacin Network
Address	1703 Kneeley Blvd
City	Ocean
State	NJ
ZIP	07712
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	May 29, 2015

Payer Source	Total Paid
Medicaid	$95.3M
Medicare	$0

Key Findings

LADACIN NETWORK has no Medicare billing on file and reports $95.3M in lifetime Medicaid revenue, making its active payer footprint effectively single-payer Medicaid rather than a mixed Medicare/Medicaid operation. This concentration means Medicaid policy and rate changes would be the primary drivers of material revenue risk or opportunity for the organization.

Revenue is extremely concentrated: the precomputed top-3 Medicaid codes account for 99.9% of this provider's total Medicaid revenue, with H2016 accounting for 63.2% and T2021 accounting for 36.4% of Medicaid receipts. That concentration indicates the organization’s financial performance is driven almost entirely by a small set of services rather than a broad mix of Medicaid line items.

The provider’s taxonomy (Developmentally Disabled Services Day Training Agency) and its code mix point to a core business of day-program and habilitation services: H2016 (Comprehensive community support services, per diem) shows 140.2K claims at $430 avg paid/claim generating $60.3M, while T2021 (Day habilitation, waiver; per 15 minutes) shows 202.7K claims at $171 avg paid/claim generating $34.7M. These volumes and per-diem/per-15-minute billing patterns are consistent with continuous day-program operations and high-frequency, time-based habilitation deliveries.

T2021’s volume is notable in-state: the code ranks #10 of 218 providers (96th percentile) and is labeled as notably above typical state volume, marking LADACIN as a major day habilitation provider in New Jersey. By contrast, H2016 ranks #49 of 206 (77th percentile) and is described as typical/unremarkable volume, indicating the provider is a significant but not dominant player for comprehensive community support relative to statewide peers.

Ancillary services contribute negligibly to overall revenue: A0090 (non-emergency transportation, per mile) generated $304.4K (0.3% of Medicaid revenue) with 10.5K claims, ranking #103 of 227 (55th percentile), and T1005 (respite care, up to 15 minutes) produced $91.4K (0.1% of Medicaid revenue) with 2.6K claims, ranking #15 of 42 (66th percentile). These figures show transportation and respite are operational adjuncts rather than material revenue drivers for the organization.

Claim counts and unit economics emphasize scale and throughput: 202.7K T2021 claims and 140.2K H2016 claims indicate a high volume of discrete service units delivered, with average payments of $171 and $430 per claim respectively. The combination of high claim volume and time-based billing implies substantial ongoing staffing and program-capacity requirements to sustain current revenue levels.

LADACIN NETWORK has been enumerated since 2015-05-29 (~11 years ago), reflecting multiple years of established Medicaid participation; that tenure, combined with $95.3M in Medicaid revenue, suggests an operationally mature day-habilitation and community-support provider rather than a recent market entrant.

The business model’s heavy reliance on per-diem and per-15-minute Medicaid reimbursement for a small number of codes creates both concentration risk and potential leverage: any changes in state waiver rules, rate schedules, or utilization oversight tied to H2016 or T2021 would disproportionately affect the organization’s financials, while strong in-state standing on T2021 positions it to compete for volume-based contracts or waiver slots tied to day habilitation services.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	140,180	$430	$60.3M
T2021	Day habilitation, waiver; per 15 minutes	202,720	$170	$34.7M
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	10,500	$30	$304.4K
T1005	Respite care services, up to 15 minutes	2,610	$40	$91.3K

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

Ladacin Network — 1 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	49	210	23,310	$490	$41.9M
T2021	Day habilitation, waiver; per 15 minutes	10	220	14,500	$170	$7.7M
T1005	Respite care services, up to 15 minutes	15	40	830	$100	$313.7K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	103	230	7,800	$10	$218.8K

Nearby Providers

Other providers in the same ZIP code as Ladacin Network, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc Of Monmouth	NJ	Developmentally Disabled Services Day Training Agency	$0	$84.6M
Assistive Choices Incorporated	NJ	Home Health Agency	$0	$22.9M
First Healthcare Asbury Park LLC	NJ	Adult Day Care Clinic/Center	$0	$19.3M
Gold Chris Associates, LLC	NJ	Clinic/Center	$0	$13.6M
Rj Healthcare Services LLC	NJ	Home Health Agency	$0	$12M
Elbaum, Krost & Elbaum, Dds, PA	NJ	Oral and Maxillofacial Surgery (Dentist)	$0	$10M
Central Jersey Urgent Care	NJ	Urgent Care Clinic/Center	$0	$8.4M
Jeffrey Elbaum	NJ	Oral and Maxillofacial Surgery (Dentist)	$8.1K	$3.7M
Ian Hersh	NJ	Foot & Ankle Surgery Podiatrist	$1M	$0
Rany Al Haj	NJ	Rheumatology Physician	$779.1K	$0

Ladacin Network — Billing Profile & Reimbursement Data

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Ladacin Network — 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