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.

Healthcare Commons, Inc. (NPI 1831264019)

Field	Value
Entity Type	Organization
Organization	Healthcare Commons, Inc.
Address	500 S Pennsville Auburn Rd
City	Carneys Point
State	NJ
ZIP	08069
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 22, 2006

Payer Source	Total Paid
Medicaid	$25M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	31,880	$320	$10.2M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	69,440	$90	$5.9M
90832	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…	43,270	$60	$2.8M
S9480	Intensive outpatient psychiatric services, per diem	2,870	$820	$2.4M
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…	10,740	$60	$590.4K
T2034	Crisis intervention, waiver; per diem	650	$860	$555.3K
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…	1,500	$370	$553.9K
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…	5,180	$90	$486.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	6,970	$60	$425K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,230	$160	$358.5K

Showing 1–10 of 18

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

Healthcare Commons, Inc. — 1 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	36	170	21,080	$100	$4.2M
S9480	Intensive outpatient psychiatric services, per diem	19	30	3,840	$770	$3.3M
T1017	Targeted case management, each 15 minutes	10	50	12,510	$150	$3M
T2034	Crisis intervention, waiver; per diem	15	20	2,220	$860	$2.3M
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…	213	720	1,690	$80	$629.2K
H2018	Psychosocial rehabilitation services, per diem	22	20	1,290	$310	$515.1K
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…	131	160	780	$110	$358.9K
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…	72	480	220	$260	$260.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	654	4,450	740	$40	$229.8K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	39	230	7,800	$10	$218.8K

Showing 1–10 of 18

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
On-purpose Counseling LLC	NJ	Community/Behavioral Health Agency	$0	$9.7M
Anthony Spano	NJ	Clinical Psychologist	$166.1K	$0
John Lawrence	NJ	Family Medicine Physician	$43.3K	$0

Healthcare Commons, Inc. — Billing Profile & Reimbursement Data

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Healthcare Commons, 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

Nearby Providers

Frequently Asked Questions

References