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.

The Arc Of Union County (NPI 1902286214)

Field	Value
Entity Type	Organization
Organization	The Arc Of Union County
Address	70 Diamond Rd
City	Springfield
State	NJ
ZIP	07081
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	June 2, 2015

Payer Source	Total Paid
Medicaid	$155.5M
Medicare	$0

Key Findings

THE ARC OF UNION COUNTY is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports $155.5M in lifetime Medicaid revenue, indicating its entire reported federal billing footprint is concentrated in Medicaid. This places the organization squarely in the Medicaid behavioral/developmental services economy rather than in fee-for-service Medicare markets.

Revenue is extremely concentrated in a narrow set of service lines: the precomputed top 3 Medicaid codes account for 99.7% of the provider's total Medicaid revenue, with H2016 representing $114M (73.3%) and T2021 representing $40.1M (25.8%) of the $155.5M total, while T1005 contributes $894K (0.6%). That concentration implies the provider’s financial profile and operational capacity are tightly tied to a small number of program types.

The provider’s code mix is consistent with its listed taxonomy (Developmentally Disabled Services Day Training Agency): H2016 (Comprehensive community support services, per diem) and T2021 (Day habilitation, waiver; per 15 minutes) together drive virtually all revenue, reflecting a combination of per-diem community support and time-based day habilitation programming. T1005 (Respite care services) appears as a smaller adjunct service line, indicating supplemental respite offerings rather than a major business line.

Despite H2016 supplying the largest revenue share, the provider’s statewide competitive position for H2016 is described as typical: it ranks #21 of 206 providers in-state (90th percentile; typical, unremarkable volume) and bills 202.4K claims at an average paid/claim of $563. This means the provider derives large absolute dollars from H2016 because of scale and the code’s per-claim value rather than occupying a uniquely dominant outlier position for that specific service code in New Jersey.

For T2021 the provider is a clear statewide leader: it billed 231.8K claims with an average paid/claim of $173, producing $40.1M in revenue and ranking #7 of 218 providers in-state (97th percentile; notably above typical state volume). That rank and claim volume identify THE ARC OF UNION COUNTY as a major provider of day habilitation services within the state Medicaid network.

T1005 (respite care) shows a high relative standing versus peers but limited revenue impact: the provider ranks #3 of 42 in-state (95th percentile; notably above typical state volume) with 14.2K claims and $894K in revenue. This indicates respite care is a recognized service offering with above-typical utilization among peers, though it does not materially shift the overall revenue mix.

Other billed codes are marginal in revenue and suggest modest ancillary capabilities: T2015 generated $346.8K (5.7K claims; rank #25 of 70, 65th percentile), H0004 produced $163.8K (4.6K claims; rank #22 of 64, 67th percentile), A0090 contributed $6.7K (371 claims; rank #202 of 227, 11th percentile), and H2015 produced $2.2K (106 claims; rank #99 of 113, 13th percentile). These small, lower-percentile lines indicate limited behavioral-health counseling, prevocational, and transportation roles relative to the provider’s dominant day habilitation/community support services.

The provider’s NPI was enumerated 2015-06-02 (~11 years ago), and the high claim counts for its top codes (202.4K H2016 claims and 231.8K T2021 claims) point to sustained operational scale in Medicaid-funded developmental services over multiple years. Combined with the extreme revenue concentration, the tenure and volumes suggest an established, specialized operator whose financial performance will be sensitive to policy or rate changes affecting H2016 and T2021 reimbursement.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	202,410	$560	$114M
T2021	Day habilitation, waiver; per 15 minutes	231,760	$170	$40.1M
T1005	Respite care services, up to 15 minutes	14,190	$60	$894K
T2015	Habilitation, prevocational, waiver; per hour	5,690	$60	$346.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	4,550	$40	$163.8K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	370	$20	$6.7K
H2015	Comprehensive community support services, per 15 minutes	110	$20	$2.2K

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

The Arc Of Union County — 2 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	21	210	23,310	$490	$41.9M
T2021	Day habilitation, waiver; per 15 minutes	7	220	14,500	$170	$7.7M
H2015	Comprehensive community support services, per 15 minutes	99	110	1,860	$140	$1.1M
T2015	Habilitation, prevocational, waiver; per hour	25	70	2,810	$100	$671.2K
T1005	Respite care services, up to 15 minutes	3	40	830	$100	$313.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	22	60	1,570	$70	$253.4K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	202	230	7,800	$10	$218.8K

Nearby Providers

Other providers in the same ZIP code as The Arc Of Union County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Circle Of Friends Inc.	NJ	Health Maintenance Organization	$0	$11.9M
Michael Loupis Counseling LLC	NJ	Mental Health Counselor	$0	$11.3M
Social Club House Inc	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.1M
2nd Home Springfield LLC	NJ	Adult Day Care Clinic/Center	$0	$8.8M
Corey Notis	NJ	Ophthalmology Physician	$847.3K	$355.4K
Steven Furer	NJ	Clinical Cardiac Electrophysiology Physician	$257.9K	$0
David Powell	NJ	Cardiovascular Disease Physician	$214.7K	$0
Eleanor Cheng	NJ	Ophthalmology Physician	$207.3K	$920
Michael Weinrauch	NJ	Cardiovascular Disease Physician	$203.6K	$0
Stanley Parman	NJ	Internal Medicine Physician	$160.1K	$0

The Arc Of Union County — Billing Profile & Reimbursement Data

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The Arc Of Union County — 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