Broadstep Academy-new Jersey Inc.
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $1,192.84 per claim for H2016 (Comprehensive community support services, per 15 min), which is 3.7× the national median of $321.53.
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $5.1M (2018) to $19.0M (2019) — a 271% swing with $13.9M absolute change.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
▼
Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
Billing Swing
Billing Swing means this provider's total billing changed dramatically from one year to the next — increasing or decreasing by more than 200% with over $1M in absolute change. This could indicate a change in practice scope, a billing scheme ramping up, or legitimate growth.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $1,192.84 per claim for H2016 (Comprehensive community support services, per 15 min) — 3.7× the national median of $321.53.
Bills $111.64 per claim for A0090 (Non-emergency transport, per mile) — 10.7× the national median of $10.45.
This is a statistical summary, not an accusation. See our methodology.
Compared to Residential Treatment Facility Intellectual and/or Developmental Disabilities Peers
Total spending distribution among 8 providers in this specialty
This provider's total spending of $137.1M is at the 50th percentile among 8 Residential Treatment Facility Intellectual and/or Developmental Disabilities providers.
Total Paid
$137.1M
$137,093,042
Total Claims
171K
Beneficiaries
19K
8.9 claims/patient
Avg Cost/Claim
$801
#815 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
Broadstep Academy-new Jersey Inc. is a Residential Treatment Facility Intellectual and/or Developmental Disabilities provider based in Sparta, NJ. From the 2018–2024 period, this provider received $137.1M in Medicaid payments across 171K claims.
Why This Matters
This provider received $137.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,136 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 5 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 85% of total spending.
$116.8M
98K claims
$1,192.84
$321.53
Comprehensive community support services, per 15 min
$116.8M
98K claims · 85.2%
$20.0M
66K claims
$303.36
$150.51
Day habilitation, waiver; per 15 min
$20.0M
66K claims · 14.6%
$185K
6K claims
$31.01
$74.63
Behavioral health counseling & therapy, per 15 min
$185K
6K claims · 0.1%
Non-emergency transport, per mile
$76K
679 claims · 0.1%
$51K
595 claims
$85.48
$88.91
Habilitation, prevocational, waiver; per 15 min
$51K
595 claims · 0.0%
Other Top Providers in New Jersey
View all →Similar Providers
Other top providers in Residential Treatment Facility Intellectual and/or Developmental Disabilities