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.

Eastern Christian Children's Retreat (NPI 1922484146)

Field	Value
Entity Type	Organization
Organization	Eastern Christian Children's Retreat
Address	700 Mountain Ave
City	Wyckoff
State	NJ
ZIP	07481
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	August 11, 2015

Payer Source	Total Paid
Medicaid	$83.7M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file and $83.7M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid) operation at scale within this dataset. The absence of Medicare activity means payer-risk and competitive analysis should focus on Medicaid reimbursement and waiver-program dynamics rather than dual-payer strategy.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 99.7% of this provider's total Medicaid revenue, driven primarily by H2016 ($72M, 86.0%) and T2021 ($11M, 13.2%), with T2015 contributing $452.9K (0.5%). These three codes form the financial backbone of the organization and dominate claims volume and paid amounts.

The provider's taxonomy (Developmentally Disabled Services Day Training Agency) and the dominant codes H2016 (Comprehensive community support services, per diem) and T2021 (Day habilitation, waiver; per 15 minutes) indicate core operations are community-based support and day habilitation services for individuals with developmental disabilities. High claim counts (H2016: 154.8K claims; T2021: 51.1K claims) and the per-diem/15-minute payment structures suggest routine, recurring service delivery in day-program and community-support settings.

State-level competitive standing appears modest rather than dominant. For H2016 the provider ranks #39 of 206 in-state (81th percentile; typical, unremarkable volume for this code) and for T2021 it ranks #64 of 218 (71th percentile; typical, unremarkable volume for this code), indicating a meaningful footprint but many peers with larger volumes.

Ancillary therapy activity is present but limited relative to core waiver services: 97535 shows 1.7K claims and $115.9K revenue (0.1% of Medicaid revenue; ranks #40 of 218, 82th percentile; typical, unremarkable volume) and S8990 shows 1.2K claims and $96.6K revenue (0.1% of Medicaid revenue; ranks #14 of 22, 38th percentile; typical, unremarkable volume). These therapy-maintenance codes suggest the provider delivers some physical/rehabilitation services or maintenance-level therapy, but they are not material revenue drivers.

Operational concentration on H2016 and T2021 creates policy and reimbursement sensitivity: because the top three codes account for 99.7% of Medicaid revenue, any changes to Medicaid coverage, rates, or waiver rules for H2016 or T2021 would have an outsized impact on the provider's financials. Analysts should prioritize monitoring state waiver payments and per-diem/15-minute rate changes for these services.

The provider has an established enrollment history, with an NPI enumerated on 2015-08-11 (~11 years ago), and demonstrates sustained service delivery given the large cumulative claim counts for the dominant codes. This tenure combined with concentrated service lines suggests operational specialization in long-running community support and day habilitation programs.

Given the typical (unremarkable) percentile rankings and the existence of many larger in-state peers, there appears to be room to expand market share for H2016 and T2021 services within New Jersey, but growth would likely require scaling existing day-program capacity or adding complementary service lines rather than relying on increased billing intensity per beneficiary.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	154,830	$470	$72M
T2021	Day habilitation, waiver; per 15 minutes	51,110	$220	$11M
T2015	Habilitation, prevocational, waiver; per hour	4,670	$100	$452.9K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	1,680	$70	$115.9K
S8990	Physical or manipulative therapy performed for maintenance rather than restoration	1,190	$80	$96.6K

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

Eastern Christian Children's Retreat — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	39	210	23,310	$490	$41.9M
T2021	Day habilitation, waiver; per 15 minutes	64	220	14,500	$170	$7.7M
T2015	Habilitation, prevocational, waiver; per hour	30	70	2,810	$100	$671.2K
S8990	Physical or manipulative therapy performed for maintenance rather than restoration	14	20	2,470	$120	$639K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	40	220	350	$60	$95.3K

Nearby Providers

Other providers in the same ZIP code as Eastern Christian Children's Retreat, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jasmine Daniels	NJ	Family Nurse Practitioner	$1M	$46.4K
Rafik Youssef	NJ	Psychiatry Physician	$174.3K	$121.2K
New Jersey Cvs Pharmacy LLC	NJ	Pharmacy	$269.9K	$0
Melanie Sinatra	NJ	Optometrist	$257.4K	$0
Edward Nieuwenhuis	NJ	Foot & Ankle Surgery Podiatrist	$240.3K	$0
Lekhraj Lala	NJ	Cardiovascular Disease Physician	$150.9K	$0
Lindasusan Marcus	NJ	Dermatology Physician	$74.6K	$0
Mark Stansfield	NJ	Physician Assistant	$48K	$0
Daniel De Feo	NJ	Family Medicine Physician	$44.5K	$0
Tanvi Stansfield	NJ	Physician Assistant	$34.4K	$0

Eastern Christian Children's Retreat — Billing Profile & Reimbursement Data

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Eastern Christian Children's Retreat — 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