The Arc of Union County
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $7.8M (2018) to $24.0M (2019) — a 207% swing with $16.2M 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
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
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.
Compared to Day Training, Developmentally Disabled Services Peers
Total spending distribution among 56 providers in this specialty
This provider's total spending of $155.5M is at the 75th percentile among 56 Day Training, Developmentally Disabled Services providers.
Total Paid
$155.5M
$155,519,097
Total Claims
459K
Beneficiaries
26K
17.3 claims/patient
Avg Cost/Claim
$339
#682 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
The Arc of Union County is a Day Training, Developmentally Disabled Services provider based in Springfield, NJ. From the 2018–2024 period, this provider received $155.5M in Medicaid payments across 459K claims.
Important Context
- ℹ️This is a government entity that may serve as a fiscal agent for large populations. Government providers often bill at high volumes due to the scale of public programs they administer.
Why This Matters
This provider received $155.5M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,439 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 7 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 73% of total spending.
$114.0M
202K claims
$563.01
$321.53
Comprehensive community support services, per 15 min
$114.0M
202K claims · 73.3%
$40.1M
232K claims
$173.22
$150.51
Day habilitation, waiver; per 15 min
$40.1M
232K claims · 25.8%
$896K
14K claims
$63.15
$71.40
Respite care services, per 15 minutes
$896K
14K claims · 0.6%
$345K
6K claims
$60.72
$88.27
Habilitation, prevocational, waiver, per diem
$345K
6K claims · 0.2%
$165K
5K claims
$36.33
$74.63
Behavioral health counseling & therapy, per 15 min
$165K
5K claims · 0.1%
Non-emergency transport, per mile
$7K
371 claims · 0.0%
$2K
106 claims
$20.59
$96.24
Comprehensive community support services, per 15 min
$2K
106 claims · 0.0%
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