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.

Northwest Essex Community Healthcare (NPI 1942749429)

Field	Value
Entity Type	Organization
Organization	Northwest Essex Community Healthcare
Address	570 Belleville Ave
City	Belleville
State	NJ
ZIP	07109
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 17, 2017

Payer Source	Total Paid
Medicaid	$23.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	25,900	$910	$23.5M
3085F	No Summary found for this code	1,810	$0	$0
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,130	$0	$0
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	2,180	$0	$0
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	12,460	$0	$0
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	7,180	$0	$0
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	140	$0	$0
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	4,430	$0	$0
96150	N/A	170	$0	$0
96151	N/A	140	$0	$0

Showing 1–10 of 31

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

Northwest Essex Community Healthcare — 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

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	5	10	32,160	$750	$38.4M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	106	170	21,080	$100	$4.2M
T1017	Targeted case management, each 15 minutes	34	50	12,510	$150	$3M
T1015	Clinic visit/encounter, all-inclusive	105	110	4,060	$170	$1.5M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	172	720	1,690	$80	$629.2K
H0014	Alcohol and/or drug services; ambulatory detoxification	2	10	730	$190	$582.6K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	116	160	780	$110	$358.9K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	75	330	1,220	$50	$323.4K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	52	480	220	$260	$260.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	2,455	4,450	740	$40	$229.8K

Showing 1–10 of 31

Nearby Providers

Other providers in the same ZIP code as Northwest Essex Community Healthcare, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clara Maass Medical Center	NJ	General Acute Care Hospital	$0	$156.9M
Belleville Senior Services, LLC	NJ	Adult Day Care Clinic/Center	$0	$19.9M
Elder Care Of Belleville LLC	NJ	Adult Day Care Clinic/Center	$0	$11.1M
123 Medical Transport LLC	NJ	Ambulance	$2.6M	$95.5K
Joel Eichler	NJ	Ophthalmology Physician	$2M	$5.6K
Susan Morrison	NJ	Allergy & Immunology Physician	$71.3K	$593.8K
Said Saleh	NJ	Hematology & Oncology Physician	$531.4K	$0
James Orsini	NJ	Hematology & Oncology Physician	$413.3K	$0
Shailendra Hajela	NJ	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$406.6K	$0
Amit Seth	NJ	Endocrinology, Diabetes & Metabolism Physician	$364.6K	$0

Northwest Essex Community Healthcare — Billing Profile & Reimbursement Data

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Northwest Essex Community Healthcare — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References