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.

Easter Seals New Jersey (NPI 1861800047)

Field	Value
Entity Type	Organization
Organization	Easter Seals New Jersey
Address	241 Forsgate Drive
City	Jamesburg
State	NJ
ZIP	08831
Taxonomy	Voluntary or Charitable Agency
NPI Enumerated	July 31, 2014

Payer Source	Total Paid
Medicaid	$56.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	150,080	$230	$35M
H2021	Community-based wrap-around services, per 15 minutes	78,730	$150	$12M
T2040	Financial management, self-directed, waiver; per 15 minutes	20,160	$320	$6.4M
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	14,140	$160	$2.2M
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	6,020	$90	$511.7K

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

Easter Seals New Jersey — 1 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	43	210	23,310	$490	$41.9M
T2040	Financial management, self-directed, waiver; per 15 minutes	1	10	20,160	$320	$6.4M
H2021	Community-based wrap-around services, per 15 minutes	10	190	3,010	$260	$3.1M
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	1	10	14,140	$160	$2.2M
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	128	230	7,800	$10	$218.8K

Nearby Providers

Other providers in the same ZIP code as Easter Seals New Jersey, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Afc Forsgate Lessee, LLC	NJ	Assisted Living Facility	$0	$11.3M
Township Of Monroe	NJ	Land Ambulance	$1.1M	$214.3K
Kaushal Nanavati	NJ	Internal Medicine Physician	$725K	$0
Edward Soffen	NJ	Radiation Oncology Physician	$714.2K	$0
Deepali Prasad	NJ	Nephrology Physician	$670.8K	$3K
Joseph Pepek	NJ	Radiation Oncology Physician	$581.4K	$0
Hiral Fontanilla	NJ	Radiation Oncology Physician	$443.4K	$0
Concettina Peloro	NJ	MOHS-Micrographic Surgery Physician	$376.6K	$0
Meggan Heinz	NJ	Optometrist	$372.9K	$0
Texas Road Applegarth	NJ	Community/Retail Pharmacy	$368.3K	$0

Easter Seals New Jersey — Billing Profile & Reimbursement Data

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Easter Seals New Jersey — 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