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 Access Unlimited (NPI 1821456526)

Field	Value
Entity Type	Organization
Organization	Community Access Unlimited
Address	80 W Grand St
City	Elizabeth
State	NJ
ZIP	07202
Taxonomy	Supports Brokerage Agency
NPI Enumerated	February 9, 2016

Payer Source	Total Paid
Medicaid	$355.6M
Medicare	$0

Key Findings

COMMUNITY ACCESS UNLIMITED is effectively a single-payer Medicaid provider: there is no Medicare billing on file and all reported lifetime revenue is Medicaid-based, totaling $355.6M. This concentration means analyses of its business model and financial risk should focus on Medicaid program rules, waiver billing, and state-level rate changes rather than on Medicare dynamics.

Revenue is highly concentrated in a small set of waiver/community support codes: the precomputed top three Medicaid codes (H2016, T2024, T2021) account for 98.0% of the provider's total Medicaid revenue. H2016 alone contributes $318.9M (89.7% of total Medicaid revenue), making the provider financially dependent on comprehensive community support per diem reimbursements.

The provider’s operational footprint is oriented toward long-term support and waiver services rather than episodic medical care: the dominant code H2016 (Comprehensive community support services, per diem), plus T2024 (Service assessment/plan of care development, waiver) and T2021 (Day habilitation, waiver; per 15 minutes), indicate core service lines in community supports, care planning for waiver participants, and day habilitation programs. High claim volumes (e.g., 649.6K claims for H2016) and per-unit payment patterns (e.g., $491 avg paid/claim for H2016) reinforce an ongoing, per-diem and minutes-based service delivery model.

Competitive standing in-state is strong for the primary revenue driver: H2016 revenue of $318.9M ranks #5 of 206 providers in New Jersey (98th percentile) and is labeled an extreme outlier, signaling the organization is a dominant provider of comprehensive community support services within the state. T2024 also shows above-typical scale, ranking #6 of 181 providers (97th percentile) and described as notably above typical state volume for that assessment/plan code.

Not all high-revenue codes are equally differentiated: T2021 (Day habilitation, waiver; per 15 minutes) generates $13.9M (3.9% of total Medicaid revenue) and ranks #40 of 218 providers in-state (82th percentile), characterized as typical or unremarkable volume. Several smaller codes (e.g., H2021, T2028, H0004) contribute modest revenue shares and generally sit in mid-to-high percentiles without being outliers, suggesting a diversified but subordinate set of ancillary services.

There are additional pockets of notable specialization beyond H2016: T2019 (Habilitation, supported employment, waiver; per 15 minutes) produced $3.7M (1.1% of total Medicaid revenue) and ranks #3 of 63 providers in-state (97th percentile), which is described as notably above typical — indicating particular strength in supported employment habilitation relative to most peers. T2028 and H0004 have small revenue footprints but rank competitively within their limited statewide populations (e.g., T2028 ranks #2 of 5 providers for that code).

Tenure information shows an established presence: the provider’s NPI was enumerated on 2016-02-09 (approximately 10 years ago), indicating it has operated under this identifier for about a decade. That tenure, combined with sustained large Medicaid billing (especially for H2016), suggests an embedded role in state waiver and community support networks.

From a risk and growth perspective, dependence on a single dominant code (H2016 at $318.9M) creates sensitivity to policy, rate, or eligibility changes affecting comprehensive community support services; conversely, the provider’s top-state ranks for H2016 and T2024 (98th and 97th percentiles) point to market leadership that could support negotiations or program expansion within New Jersey waiver programs. Analysts should prioritize monitoring of H2016 utilization, state waiver policy shifts, and any changes in per-diem or assessment reimbursement rules.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	649,560	$490	$318.9M
T2024	Service assessment/plan of care development, waiver	52,830	$300	$15.8M
T2021	Day habilitation, waiver; per 15 minutes	89,040	$160	$13.9M
T2019	Habilitation, supported employment, waiver; per 15 minutes	33,770	$110	$3.7M
H2021	Community-based wrap-around services, per 15 minutes	17,990	$130	$2.3M
T2028	Specialized supply, not otherwise specified, waiver	510	$930	$476.2K
H0004	Behavioral health counseling and therapy, per 15 minutes	9,450	$40	$368.7K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	2,190	$10	$21.9K

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 Access Unlimited — 3 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	5	210	23,310	$490	$41.9M
T2021	Day habilitation, waiver; per 15 minutes	40	220	14,500	$170	$7.7M
H2021	Community-based wrap-around services, per 15 minutes	32	190	3,010	$260	$3.1M
T2024	Service assessment/plan of care development, waiver	6	180	3,700	$300	$2.7M
T2019	Habilitation, supported employment, waiver; per 15 minutes	3	60	1,540	$110	$696.7K
T2028	Specialized supply, not otherwise specified, waiver	2	10	260	$1,050	$448.3K
H0004	Behavioral health counseling and therapy, per 15 minutes	5	60	1,570	$70	$253.4K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	155	230	7,800	$10	$218.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trinitas Regional Medical Center	NJ	General Acute Care Hospital	$0	$142.3M
Confident Care Corp	NJ	Home Health Agency	$0	$46.3M
Barnabas Health Medical Group PC	NJ	Specialist	$0	$40M
Bridgeway Rehabilitation Services	NJ	Case Management Agency	$0	$22.6M
Trinitas Regional Medical Center	NJ	General Acute Care Hospital	$0	$14.3M
Vipin Garg	NJ	Pulmonary Disease Physician	$1M	$0
Anshu Garg	NJ	Cardiovascular Disease Physician	$759.9K	$0
Matthew Cholankeril	NJ	Cardiovascular Disease Physician	$525.3K	$0
Atlas Diagnostics Inc	NJ	Clinical Medical Laboratory	$420K	$11.3K
Mathew Cholankeril	NJ	Cardiovascular Disease Physician	$329.8K	$0

Community Access Unlimited — Billing Profile & Reimbursement Data

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Community Access Unlimited — 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