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.

Discovery Institute For Addictive Disorders (NPI 1831366244)

Field	Value
Entity Type	Organization
Organization	Discovery Institute For Addictive Disorders
Address	80 Conover Rd
City	Marlboro
State	NJ
ZIP	07746
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	May 14, 2008

Payer Source	Total Paid
Medicaid	$42.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	11,530	$2,000	$23M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	9,040	$1,670	$15.1M
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…	3,870	$450	$1.7M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	540	$2,170	$1.2M
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…	8,110	$120	$933.1K
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…	4,750	$40	$185.2K
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…	570	$90	$52.2K
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…	930	$30	$27.1K
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	60	$10	$300

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

Discovery Institute For Addictive Disorders — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	73	80	14,670	$280	$9.3M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	7	10	8,920	$680	$9.1M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	8	60	100	$380	$2.8M
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…	48	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…	469	720	1,690	$80	$629.2K
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…	188	330	1,220	$50	$323.4K
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…	25	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…	862	4,450	740	$40	$229.8K
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	147	160	980	$1	$13.5K

Nearby Providers

Other providers in the same ZIP code as Discovery Institute For Addictive Disorders, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Empower U.	NJ	Community/Behavioral Health Agency	$0	$46.7M
New Hope Foundation, Inc.	NJ	Substance Abuse Rehabilitation Facility	$0	$30.5M
Apex Ambulance Corp	NJ	Ambulance	$737.2K	$168.2K
Amor Mehta	NJ	Neurology Physician	$512.5K	$0
Gary Yen	NJ	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$360.3K	$0
Jae Park	NJ	Physical Therapist	$289K	$0
Jun Li	NJ	Anesthesiology Physician	$92.2K	$100.3K
Zain Husain	NJ	Dermatology Physician	$187.5K	$0
Anthony Benjamin	NJ	Physical Therapist	$184.8K	$0
Steve Weintraub	NJ	Sports Medicine (Family Medicine) Physician	$126.1K	$0

Discovery Institute For Addictive Disorders — Billing Profile & Reimbursement Data

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Discovery Institute For Addictive Disorders — 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