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.

Special Needs Residence LLC (NPI 1811399702)

Field	Value
Entity Type	Organization
Organization	Special Needs Residence LLC
Address	130 Mount Bethel Rd
City	Warren
State	NJ
ZIP	07059
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	September 23, 2014

Payer Source	Total Paid
Medicaid	$19M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	8,890	$2,060	$18.3M
H2021	Community-based wrap-around services, per 15 minutes	750	$960	$712.4K

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

Special Needs Residence LLC — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	136	210	23,310	$490	$41.9M
H2021	Community-based wrap-around services, per 15 minutes	152	190	3,010	$260	$3.1M

Nearby Providers

Other providers in the same ZIP code as Special Needs Residence LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clarity Laboratories LLC	NJ	Clinical Medical Laboratory	$277.9K	$31.7M
Mt Bethel Day Program LLC	NJ	Adult Day Care Clinic/Center	$0	$12.7M
Matthew Gewirtz	NJ	Ophthalmology Physician	$683.8K	$0
Rebecca Lu	NJ	MOHS-Micrographic Surgery Physician	$436.9K	$0
Myra Finn Wedmid	NJ	Diagnostic Radiology Physician	$302.6K	$0
Eric Lazar	NJ	Diagnostic Radiology Physician	$220K	$0
Richard Nelson	NJ	Internal Medicine Physician	$214.5K	$0
Gerard Pregenzer	NJ	Obstetrics & Gynecology Physician	$197.2K	$0
Debra Firestone	NJ	Ophthalmology Physician	$194.8K	$0
Manuela Hamaoui	NJ	Internal Medicine Physician	$139.7K	$0

Special Needs Residence LLC — Billing Profile & Reimbursement Data

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Special Needs Residence LLC — Billing Profile & Reimbursement Data

Sign up for Special Needs Residence LLC — 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