The Open Door of NJ
The Open Door of NJ was paid $26.80M by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 61% of everything it billed.
33Billing provider infoTHE OPEN DOOR OF NJ
TOMS RIVER, NJ 08757
TOMS RIVER, NJ 08757
33aNPI1033599956assigned 06/05/2015
28Total paid$26.80M
24GClaims99,952
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Child Intellectual and/or Developmental Disabilities Respite Care providers in New Jersey
Rank by total paid#3 of 5
Median peer was paid$26.80M
This provider vs. median1.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 9,496 | $1.02M | |
| 2019 | 23,315 | $4.22M | |
| 2020 | 8,476 | $3.22M | |
| 2021 | 10,720 | $3.59M | |
| 2022 | 15,604 | $4.50M | |
| 2023 | 16,286 | $4.96M | |
| 2024incomplete | 16,055 | $5.29M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 61% | 6,809 | 1,400 | $16.31M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 35% | 82,697 | 5,283 | $9.40M |
| A0090 | Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest | 2.1% | 5,457 | 2,473 | $571K |
| T2015 | Habilitation, prevocational, waiver; per hour | 1.9% | 4,989 | 634 | $522K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPERRY, ESTELLE (EXECUTIVE DIRECTOR)