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.

Care Plus Nj, Inc (NPI 1982142261)

Field	Value
Entity Type	Organization
Organization	Care Plus Nj, Inc
Address	610 Valley Health Plz
City	Paramus
State	NJ
ZIP	07652
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 7, 2017

Payer Source	Total Paid
Medicaid	$38.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	54,500	$700	$38.1M
3085F	No Summary found for this code	260	$0	$0
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4,140	$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…	990	$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…	870	$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…	77,220	$0	$0
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	590	$0	$0
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	70	$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…	6,620	$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…	3,800	$0	$0

Showing 1–10 of 35

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

Care Plus Nj, Inc — 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

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	3	10	32,160	$750	$38.4M
T1017	Targeted case management, each 15 minutes	37	50	12,510	$150	$3M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	65	390	2,500	$210	$1.6M
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…	9	720	1,690	$80	$629.2K
H0031	Mental health assessment, by non-physician	1	10	1,330	$110	$394.2K
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…	16	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…	86	330	1,220	$50	$323.4K
H0032	Mental health service plan development by non-physician	5	50	1,670	$30	$288.2K
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…	111	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…	1,710	4,450	740	$40	$229.8K

Showing 1–10 of 35

Related Providers

Other providers that share a Tax Identification Number (TIN) with Care Plus Nj, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Care Plus Nj, Inc	NJ	Community/Behavioral Health Agency	$0	$17.2M
Care Plus Nj, Inc.	NJ	Community/Behavioral Health Agency	$0	$17M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Concepts For Living	NJ	Developmentally Disabled Services Day Training Agency	$0	$123.8M
Children's Aid And Family Services, Inc.	NJ	In Home Supportive Care Agency	$0	$91M
Bergen County Improvement Authority	NJ	General Acute Care Hospital	$0	$37.5M
Jewish Association For Developmental Disabilities	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$37.3M
The Valley Hospital Inc.	NJ	General Acute Care Hospital	$0	$31.5M
Bergen County Adult Day Care LLC	NJ	Adult Day Care Clinic/Center	$0	$28.7M
Help At Home Services	NJ	Home Health Agency	$0	$18.8M
Bergen County Special Services School District	NJ	Local Education Agency (LEA)	$0	$15.4M
Bergen County Improvement Authority	NJ	Psychiatry Physician	$0	$14.5M
Shift Transition LLC	NJ	Supports Brokerage Agency	$0	$8.9M

Care Plus Nj, Inc — Billing Profile & Reimbursement Data

Sign up for Care Plus Nj, Inc — Billing Profile & Reimbursement Data policy alerts

Care Plus Nj, Inc — Billing Profile & Reimbursement Data

Sign up for Care Plus Nj, Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References