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.

Serv Achievement Centers Inc (NPI 1992867527)

Field	Value
Entity Type	Organization
Organization	Serv Achievement Centers Inc
Address	3 Aaa Dr Ste 101
City	Robbinsville
State	NJ
ZIP	08691
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	December 13, 2006

Payer Source	Total Paid
Medicaid	$103.5M
Medicare	$0

Key Findings

SERV ACHIEVEMENT CENTERS INC is effectively a single-payer provider in the available file set: it has no Medicare billing on file and reports $103.5M in lifetime Medicaid revenue, indicating near-exclusive reliance on Medicaid for billed services and revenue capture. This concentration means analyses of operating scale and payer risk should focus on Medicaid policy and rate environments rather than Medicare trends.

Revenue is extremely concentrated in a single service line: the top three Medicaid codes account for 100.0% of the provider's Medicaid revenue, with H2016 alone representing $95.1M of the $103.5M total. That concentration signals that organizational revenue and capacity are driven overwhelmingly by the delivery and reimbursement of the service billed under H2016.

H2016 (Comprehensive community support services, per diem) is the dominant revenue driver: 229.8K claims at $414 avg paid/claim produced $95.1M, which is 91.9% of the provider's Medicaid revenue. The code ranks #16 of 206 in-state (93th percentile) and is characterized in the file as typical, unremarkable volume, so while the provider generates large absolute revenue from H2016, its activity for this code falls within the common range among in-state peers with similar service models.

T2021 (Day habilitation, waiver; per 15 minutes) is the secondary driver, producing $8.3M (8.0% of Medicaid revenue) from 61.3K claims at $135 avg paid/claim. It ranks #58 of 218 in-state (74th percentile) and is labeled typical, unremarkable volume, indicating the provider operates a meaningful but not exceptional day habilitation program relative to other New Jersey providers.

H0004 (Behavioral health counseling and therapy, per 15 minutes) is a very small revenue component: 1.7K claims at $39 avg paid/claim generated $65.1K, or 0.1% of Medicaid revenue. It ranks #31 of 64 in-state (52th percentile) with typical, unremarkable volume, suggesting counseling/therapy is a marginal billing stream for this entity rather than a core service line.

The mix of codes and their unit types (H2016 per diem and T2021 per 15 minutes) points to an operational model centered on community-based residential supports and day habilitation for individuals with intellectual and developmental disabilities. High per-diem payments under H2016 drive the provider's scale, implying staffing, facility, and continuous-support cost structures consistent with residential and community support operations.

From a competitive standpoint, the provider is a substantial in-state revenue generator due to the absolute scale of its H2016 revenue ($95.1M) but is described in comparative labels as having typical, unremarkable volume for each top code; it is not presented as an extreme outlier or uniquely dominant across these codes despite large dollar totals. Analysts should interpret rank and percentile together with the ‘‘typical, unremarkable volume’’ characterization when assessing market positioning.

The entity has long tenure in the NPI registry—enumerated on 2006-12-13 (~20 years ago)—which supports interpreting this coding pattern as established rather than transient. Given the concentrated revenue mix and lengthy presence, payer or policy shifts affecting H2016 reimbursement or program eligibility could have outsized financial impact on the organization.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	229,760	$410	$95.1M
T2021	Day habilitation, waiver; per 15 minutes	61,270	$140	$8.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	1,670	$40	$65.1K

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

Serv Achievement Centers Inc — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	16	210	23,310	$490	$41.9M
T2021	Day habilitation, waiver; per 15 minutes	58	220	14,500	$170	$7.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	31	60	1,570	$70	$253.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Jersey Division Of Developmental Disabilities	NJ	Developmentally Disabled Services Day Training Agency	$0	$334.1M
Loving Care Agency, Inc	NJ	Home Health Agency	$0	$22.9M
Thomas Reilly	NJ	Diagnostic Radiology Physician	$618.2K	$50
Richard Scafidi	NJ	Diagnostic Radiology Physician	$349.9K	$0
Robert Mignone	NJ	Otolaryngology/Facial Plastic Surgery Physician	$289.1K	$0
Christopher Kirkpatrick	NJ	Diagnostic Radiology Physician	$248.8K	$20
Jeffrey Mathews	NJ	Diagnostic Radiology Physician	$235.4K	$0
Jeffrey Steinig	NJ	Diagnostic Radiology Physician	$221.3K	$130
Michael Dutka	NJ	Diagnostic Radiology Physician	$202.9K	$2.1K
Michael Gold	NJ	Diagnostic Radiology Physician	$191.4K	$180

Serv Achievement Centers Inc — Billing Profile & Reimbursement Data

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Serv Achievement Centers 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