Community Options, INC.

Community Options, INC. was paid $337.94M by Medicaid between Feb 2018 and Dec 2024, across 3 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 99% of everything it billed.

33Billing provider infoCOMMUNITY OPTIONS, INC.
PRINCETON, NJ 08540

33aNPI1194028969assigned 12/16/2010

33bProvider typeDevelopmentally Disabled Services Day Training Agency

28Total paid$337.94M

24GClaims846,562

24DCodes billed3

24AFirst – last monthFeb 2018 – Dec 2024

Compared with peers

Next to other Developmentally Disabled Services Day Training Agency providers in New Jersey

Rank by total paid#2 of 154

Median peer was paid$4.61M

This provider vs. median73×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration99% of spending on code H2016 with only 3 total codes billed. Highly concentrated billing profile.

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	55,487	$19.86M
2019	114,926	$38.84M
2020	124,287	$42.52M
2021	133,479	$49.17M
2022	135,137	$54.32M
2023	142,170	$64.35M
2024incomplete	141,076	$68.88M

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	99%	815,909	27,892	$335.64M
H0004	Behavioral health counseling and therapy, per 15 minutes	<1%	23,765	5,028	$2.20M
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	<1%	6,888	592	$107K

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 officialSWEENEY, DAVID (CHIEF FINANCIAL OFFICER)