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.

Cpc Integrated Health, Inc. (NPI 1821537093)

Field	Value
Entity Type	Organization
Organization	Cpc Integrated Health, Inc.
Address	270 Highway 35
City	Red Bank
State	NJ
ZIP	07701
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 21, 2017

Payer Source	Total Paid
Medicaid	$80.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	111,940	$720	$80.7M
3085F	No Summary found for this code	7,670	$0	$0
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	5,310	$0	$0
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	4,710	$0	$0
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	1,170	$0	$0
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	68,760	$0	$0
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	960	$0	$0
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	7,350	$0	$0
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	5,630	$0	$0
96150	N/A	40	$0	$0

Showing 1–10 of 42

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

Cpc Integrated Health, Inc. — 1 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

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	1	10	32,160	$750	$38.4M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	72	170	21,080	$100	$4.2M
T1017	Targeted case management, each 15 minutes	3	50	12,510	$150	$3M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	23	190	2,900	$110	$838.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	14	720	1,690	$80	$629.2K
H0031	Mental health assessment, by non-physician	3	10	1,330	$110	$394.2K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	74	160	780	$110	$358.9K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	45	330	1,220	$50	$323.4K
G0176	Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)	3	10	910	$230	$313.6K
H0032	Mental health service plan development by non-physician	8	50	1,670	$30	$288.2K

Showing 1–10 of 42

Related Providers

Other providers that share a Tax Identification Number (TIN) with Cpc Integrated Health, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cpc Integrated Health, Inc.	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16M

Nearby Providers

Other providers in the same ZIP code as Cpc Integrated Health, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hackensack Meridian Health Medical Group - Specialty Care PC	NJ	Surgical Critical Care Physician	$0	$50.1M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$26.4M
Caring With Compassion	NJ	Developmentally Disabled Services Day Training Agency	$0	$23.7M
Hackensack Meridian Health Medical Group - Primary Care PC	NJ	Family Medicine Physician	$0	$21.9M
Hackensack Meridian Health Medical Group - Complex Care PC	NJ	Internal Medicine Physician	$0	$11.6M
Cpc Integrated Health, Inc.	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.8M
Meridian Medical Group - Specialty Care, PC	NJ	Specialist	$0	$8.2M
Middletown Medical, LLC	NJ	Methadone Clinic	$454.8K	$7.8M
Richard Haddad	NJ	Specialist	$4.3M	$0
Edward Allegra	NJ	Specialist	$3.6M	$0

Cpc Integrated Health, Inc. — Billing Profile & Reimbursement Data

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Cpc Integrated Health, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References