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.

Afc Forsgate Lessee, LLC (NPI 1891031399)

Field	Value
Entity Type	Organization
Organization	Afc Forsgate Lessee, LLC
Address	319 Forsgate Dr
City	Monroe
State	NJ
ZIP	08831
Taxonomy	Assisted Living Facility
NPI Enumerated	January 2, 2013

Payer Source	Total Paid
Medicaid	$11.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2031	Assisted living; waiver, per diem	6,390	$1,770	$11.3M

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

Afc Forsgate Lessee, LLC — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2031	Assisted living; waiver, per diem	10	180	710	$550	$2M

Nearby Providers

Other providers in the same ZIP code as Afc Forsgate Lessee, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Easter Seals New Jersey	NJ	Voluntary or Charitable Agency	$0	$56.1M
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

Afc Forsgate Lessee, LLC — Billing Profile & Reimbursement Data

Sign up for Afc Forsgate Lessee, LLC — Billing Profile & Reimbursement Data policy alerts

Afc Forsgate Lessee, LLC — Billing Profile & Reimbursement Data

Sign up for Afc Forsgate Lessee, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References