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.

The Arc Of Atlantic County, Inc. (NPI 1861738874)

Field	Value
Entity Type	Organization
Organization	The Arc Of Atlantic County, Inc.
Address	6550 Delilah Rd Ste 101
City	Egg Harbor Township
State	NJ
ZIP	08234
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	December 19, 2012

Payer Source	Total Paid
Medicaid	$87.5M
Medicare	$0

Key Findings

THE ARC OF ATLANTIC COUNTY, INC. is effectively a Medicaid-only provider: lifetime Medicare revenue is none (no Medicare billing on file) while total Medicaid revenue is $87.5M, indicating near-exclusive reliance on Medicaid for billed services and financial scale. This payer concentration means analysis of Medicaid coding and reimbursement trends will capture the vast majority of the provider's activity and financial exposure.

Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top 3 codes (H2016, T2024, T2021) account for 95.7% of this provider's total Medicaid revenue. The single largest line is H2016 with $68.7M (78.5% of Medicaid revenue), followed by T2024 with $7.8M (9.0%) and T2021 with $7.2M (8.2%), so changes to utilization or rates for those codes would disproportionately affect overall revenue.

The code mix signals a service profile centered on long-duration community supports and habilitation: H2016 (Comprehensive community support services, per diem) dominates revenue, while T2024 (service assessment/plan of care development, waiver) and T2021 (day habilitation, waiver; per 15 minutes) together indicate substantial investment in care planning and day habilitation programs. This pattern aligns with the provider taxonomy (Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility) and implies operations oriented around continuous community supports and structured habilitation services rather than discrete clinical procedures.

Competitively for H2016, the provider ranks #17 of 206 providers in-state (92th percentile; typical, unremarkable volume for this code), placing it among the larger in-state billers for comprehensive community support per diem despite the dataset labeling the level as typical. That rank and percentile indicate the organization is a significant statewide participant in the high-revenue per-diem community support market.

For the other top drivers, T2024 ranks #16 of 181 providers in-state (92th percentile; typical, unremarkable volume for this code) and T2021 ranks #55 of 218 providers in-state (75th percentile; typical, unremarkable volume for this code). Those positions suggest the provider is a strong in-state performer on assessment/plan and a solid mid-to-upper-tier participant in day habilitation, respectively, supporting the conclusion that its competitive standing is concentrated in a few waiver and habilitation services.

Lower-revenue codes show operational breadth but limited financial weight: H2021 ($3.1M, 3.6% of Medicaid revenue) ranks #23 of 194 (89th percentile; typical), and H0004 ($331.6K, 0.4%) ranks #6 of 64 (92th percentile; typical). These entries indicate the provider also bills for wrap-around and behavioral health counseling services at meaningful frequencies relative to some peers, but they do not materially diversify the revenue base given the top-three concentration.

The provider has an established presence in the market, with NPI enumerated 2012-12-19 (~14 years ago), which supports interpretation of its current billing footprint as the result of sustained operations rather than a transient billing pattern. That tenure, combined with the concentrated code mix, suggests a mature programmatic focus that has persisted over multiple years.

Because H2016, T2024, and T2021 together generate 95.7% of Medicaid revenue, the organization faces concentrated operational and reimbursement exposure: policy, rate-setting, or utilization shifts affecting per-diem community support, waiver assessments/plans, or day habilitation would likely have outsized financial impact. Analysts should treat changes to those specific code sets as primary drivers of financial risk and opportunity for this provider.

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
H2016	Comprehensive community support services, per diem	229,720	$300	$68.7M
T2024	Service assessment/plan of care development, waiver	25,980	$300	$7.8M
T2021	Day habilitation, waiver; per 15 minutes	64,470	$110	$7.2M
H2021	Community-based wrap-around services, per 15 minutes	25,630	$120	$3.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	9,210	$40	$331.6K
T2019	Habilitation, supported employment, waiver; per 15 minutes	1,980	$60	$121K
T2015	Habilitation, prevocational, waiver; per hour	2,530	$40	$103.8K
H2015	Comprehensive community support services, per 15 minutes	1,280	$60	$79.5K
T1005	Respite care services, up to 15 minutes	340	$80	$28K

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

The Arc Of Atlantic County, Inc. — 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
H2016	Comprehensive community support services, per diem	17	210	23,310	$490	$41.9M
T2021	Day habilitation, waiver; per 15 minutes	55	220	14,500	$170	$7.7M
H2021	Community-based wrap-around services, per 15 minutes	23	190	3,010	$260	$3.1M
T2024	Service assessment/plan of care development, waiver	16	180	3,700	$300	$2.7M
H2015	Comprehensive community support services, per 15 minutes	63	110	1,860	$140	$1.1M
T2019	Habilitation, supported employment, waiver; per 15 minutes	29	60	1,540	$110	$696.7K
T2015	Habilitation, prevocational, waiver; per hour	37	70	2,810	$100	$671.2K
T1005	Respite care services, up to 15 minutes	30	40	830	$100	$313.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	6	60	1,570	$70	$253.4K

Nearby Providers

Other providers in the same ZIP code as The Arc Of Atlantic County, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Atlanticare Physician Group PA	NJ	Clinic/Center	$0	$27.1M
Bayada Home Health Care, Inc.	NJ	Home Health Agency	$0	$18.3M
Behavioral Crossroads Recovery LLC	NJ	Substance Use Disorder Rehabilitation Clinic/Center	$0	$16.9M
Atlanticare Behavioral Health, Inc	NJ	Community/Behavioral Health Agency	$0	$16.6M
Community Quest	NJ	Community/Behavioral Health Agency	$0	$15.2M
Behavioral Crossroads, LLC	NJ	Community/Behavioral Health Agency	$0	$14.1M
A Better Home Care LLC	NJ	Home Health Agency	$0	$13.5M
Atlanticare Behavioral Health, Inc.	NJ	Community/Behavioral Health Agency	$0	$10.9M
Egg Harbor Family Dental, PA	NJ	Dentist	$0	$10.9M
Med A Quest, LLC	NJ	In Home Supportive Care Agency	$0	$8.6M

The Arc Of Atlantic County, Inc. — Billing Profile & Reimbursement Data

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The Arc Of Atlantic County, Inc. — 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