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.

South Plainfield Day Care (NPI 1902049380)

Field	Value
Entity Type	Organization
Organization	South Plainfield Day Care
Address	3000 Hadley Rd
City	South Plainfield
State	NJ
ZIP	07080
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	April 14, 2009

Payer Source	Total Paid
Medicaid	$27M
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
S5102	Day care services, adult; per diem	329,450	$80	$27M

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

South Plainfield Day Care — 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
S5102	Day care services, adult; per diem	18	180	106,830	$80	$11.4M

Nearby Providers

Other providers in the same ZIP code as South Plainfield Day Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Keystone Community Living, Inc.	NJ	Developmentally Disabled Services Day Training Agency	$0	$46.2M
Mintex N Tech	NJ	Home Health Agency	$0	$45.7M
Accurate Diagnostics Labs, Inc.	NJ	Clinical Medical Laboratory	$0	$37.8M
Elite Care Managment LLC	NJ	Home Health Agency	$0	$22.8M
Livingston Infusion Care	NJ	Pharmacy	$410.1K	$19.3M
Apple Diagnostics Lab	NJ	Clinical Medical Laboratory	$212.8K	$18.9M
John Gore	NJ	Addiction (Substance Use Disorder) Counselor	$0	$17.3M
E&s Home Care Solutions LLC	NJ	Home Health Agency	$0	$8.2M
Circle Of Strength LLC	NJ	Home Health Agency	$0	$7.9M
Mmd Community Care	NJ	Community/Behavioral Health Agency	$0	$7.5M

South Plainfield Day Care — Billing Profile & Reimbursement Data

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South Plainfield Day Care — Billing Profile & Reimbursement Data

Sign up for South Plainfield Day Care — 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