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.

Alternatives, Inc. (NPI 1902144686)

Field	Value
Entity Type	Organization
Organization	Alternatives, Inc.
Address	600 1st Ave
City	Raritan
State	NJ
ZIP	08869
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 30, 2013

Payer Source	Total Paid
Medicaid	$105.5M
Medicare	$0

Key Findings

ALTERNATIVES, INC. is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the provider reports $105.5M in lifetime Medicaid revenue, indicating its operations and revenue base are concentrated entirely in Medicaid-funded services in New Jersey. This payer concentration implies that analyses of this entity should focus on Medicaid policy, waiver programs, and state-level rate changes rather than Medicare trends.

Revenue is extremely concentrated in a small set of procedure codes: the top three Medicaid codes account for 99.4% of the provider's total Medicaid revenue. In particular, H2016 generates $96.8M (91.7% of Medicaid revenue), with T2021 contributing $4.8M (4.6%) and T2024 contributing $3.3M (3.1%), showing reliance on a narrow set of service lines for nearly all reported billing.

The code mix points to a community-based, long-term supportive service model rather than episodic outpatient care: H2016 (Comprehensive community support services, per diem) as the dominant revenue driver suggests per-diem comprehensive support programs; the presence of T2021 (Day habilitation, waiver; per 15 minutes) and T2024 (Service assessment/plan of care development, waiver) underscores involvement in waiver-funded habilitation and care-planning services for clients needing ongoing supports. This pattern is consistent with an organization structured around programmatic daily services and care coordination.

Competitive standing on H2016 is relatively strong in-state: the provider's H2016 volume ranks #19 of 206 providers in New Jersey (91th percentile). While that rank places ALTERNATIVES, INC. among higher-volume in-state providers for H2016, the underlying label for this code is described as "typical, unremarkable volume for this code," suggesting many providers in the state also report significant activity in this service line.

For T2021 and T2024 the provider shows mixed statewide positioning: T2021 ranks #86 of 218 providers (61th percentile), indicating mid-range state volume for day habilitation, while T2024 ranks #36 of 181 providers (81th percentile), signaling comparatively stronger performance in plan-of-care and assessment services. Both codes are also characterized as "typical, unremarkable volume for this code," which implies the provider competes within common statewide service patterns rather than as an outlier.

Several behavioral-health/ACT-related codes are minor contributors to revenue and suggest limited engagement in those specific service models: H0039 accounts for $403.8K (0.4% of Medicaid revenue) and ranks #34 of 40 providers in-state (15th percentile), while H2015 and H0004 contribute $225.2K (0.2%) and $6.3K (0.0%) respectively, with lower state ranks. These low shares indicate the organization is not a major statewide provider of assertive community treatment or high-volume per-15-minute counseling compared with peers.

The provider has an established operational tenure, with its NPI enumerated on 2013-01-30 (~13 years ago), which supports the interpretation that its programmatic focus and payer relationships are relatively mature. That longevity combined with the concentrated code mix suggests institutional expertise in delivering the specific waiver and community-support services that drive most of its Medicaid revenue.

Strategic and financial implications flow from the concentration of revenue into H2016 and related waiver services: dependence on a single per-diem comprehensive-support code for $96.8M (91.7% of Medicaid revenue) creates exposure to reimbursement or policy changes affecting that code, but it also indicates a clear specialization in Medicaid waiver and community-based supports that could be a defensible market position within New Jersey's behavioral-health landscape. Analysts should prioritize monitoring H2016 reimbursement trends and state waiver policy updates when assessing the provider's financial outlook.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	224,590	$430	$96.8M
T2021	Day habilitation, waiver; per 15 minutes	28,110	$170	$4.8M
T2024	Service assessment/plan of care development, waiver	11,540	$280	$3.3M
H0039	Assertive community treatment, face-to-face, per 15 minutes	3,880	$100	$403.8K
H2015	Comprehensive community support services, per 15 minutes	1,820	$120	$225.2K
H0004	Behavioral health counseling and therapy, per 15 minutes	70	$100	$6.3K

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

Alternatives, Inc. — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	19	210	23,310	$490	$41.9M
T2021	Day habilitation, waiver; per 15 minutes	86	220	14,500	$170	$7.7M
T2024	Service assessment/plan of care development, waiver	36	180	3,700	$300	$2.7M
H0039	Assertive community treatment, face-to-face, per 15 minutes	34	40	12,010	$130	$2.6M
H2015	Comprehensive community support services, per 15 minutes	60	110	1,860	$140	$1.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	59	60	1,570	$70	$253.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	NJ	Clinical Medical Laboratory	$143.3M	$717.5M
Delta Community Supports, Inc.	NJ	Developmentally Disabled Services Day Training Agency	$0	$45.3M
Delta Community Supports, Inc.	NJ	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$31.6M
Rajendrakumar Patel	NJ	Internal Medicine Physician	$717.2K	$0
Michelle Domingo	NJ	Physician Assistant	$125.1K	$0
Farah Hussain-said	NJ	Audiologist-Hearing Aid Fitter	$8.8K	$0

Alternatives, Inc. — Billing Profile & Reimbursement Data

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Alternatives, 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