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.

Everas Community Services, Inc. (NPI 1861903122)

Field	Value
Entity Type	Organization
Organization	Everas Community Services, Inc.
Address	24 Worlds Fair Dr Ste K
City	Somerset
State	NJ
ZIP	08873
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	October 13, 2017

Payer Source	Total Paid
Medicaid	$114.2M
Medicare	$0

Key Findings

EVERAS COMMUNITY SERVICES, INC. bills exclusively to Medicaid and has no Medicare billing on file; its entire reported lifetime revenue is $114.2M from Medicaid, and Medicare activity is absent, making it effectively a single-payer (Medicaid) operation in the available data. This payer concentration should be front-and-center for any risk or network analyses.

Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, with H2016 alone accounting for $107M revenue (93.7% of this provider's total Medicaid revenue). This concentration indicates that a single service line drives nearly the entirety of billed Medicaid dollars.

The code mix is consistent with the provider's taxonomy (Developmentally Disabled Services Day Training Agency): H2016 (Comprehensive community support services, per diem) and T2021 (Day habilitation, waiver; per 15 minutes) together constitute the operational core, suggesting the organization primarily provides day habilitation and community support services for individuals with developmental disabilities rather than medical or acute care. H2016 shows 229.2K claims at $467 avg paid/claim and T2021 shows 44.8K claims at $160 avg paid/claim, underscoring a high-volume, unit-based day-service model.

H2016's competitive standing in-state is relatively strong by rank: it reports $107M and ranks #18 of 206 providers (92th percentile), which places EVERAS above most peers on this code. At the same time, the precomputed label for H2016 characterizes its volume as "typical, unremarkable volume for this code," so while the provider sits high in the state rank list it is not flagged as a statistical outlier in the supplied characterization.

T2021 is a secondary revenue stream at $7.2M (6.3% of Medicaid revenue) with 44.8K claims and a rank of #70 of 218 providers (68th percentile); its supplied label is also "typical, unremarkable volume for this code," indicating a modest but material presence in day habilitation relative to peers rather than a dominant market position. This suggests diversification within the day-services portfolio but not broad dominance across multiple service lines.

Behavioral health counseling (H0004) is immaterial to the provider's revenue mix: 208 claims, $34 avg paid/claim, $7.1K revenue (0.0% of this provider's total Medicaid revenue), and it ranks #52 of 64 providers (19th percentile). The low dollar contribution and relatively low percentile position indicate that H0004 services are not a core business driver for this entity.

The provider has an NPI enumeration date of 2017-10-13 (~9 years ago), indicating nearly a decade of recorded activity under this NPI. Combined with a $114.2M Medicaid lifetime revenue and heavy reliance on H2016, the tenure and revenue profile point to an established, narrowly specialized community services operation focused on day habilitation and comprehensive community supports.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	229,190	$470	$107M
T2021	Day habilitation, waiver; per 15 minutes	44,750	$160	$7.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	210	$30	$7.1K

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

Everas Community Services, Inc. — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	18	210	23,310	$490	$41.9M
T2021	Day habilitation, waiver; per 15 minutes	70	220	14,500	$170	$7.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	52	60	1,570	$70	$253.4K

Nearby Providers

Other providers in the same ZIP code as Everas Community Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem New Jersey, Inc.	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$218M
Rwjbh Emergency Medicine Associates, LLC	NJ	Emergency Medicine Physician	$0	$117.8M
Premier Supports, LLC	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$71.4M
Forever Young Medical Day Care	NJ	Adult Day Care Clinic/Center	$0	$35.8M
Audiology Services Company Usa, LLC	NJ	Hearing and Speech Clinic/Center	$0	$33.3M
Paradise Adult Day Healthcare LLC	NJ	Adult Day Care Clinic/Center	$0	$27M
National Mentor Healthcare, LLC	NJ	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$10.7M
Franklin Township Publc Schools	NJ	Local Education Agency (LEA)	$0	$9.3M
Jersey Behavioral Care LLC	NJ	Mental Health Counselor	$0	$8.7M
Rainbow Healthcare Inc.	NJ	Adult Day Care Clinic/Center	$0	$7.3M

Everas Community Services, Inc. — Billing Profile & Reimbursement Data

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Everas Community Services, 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