Bancroft a New Jersey Nonprofit Corporation
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 8 procedure codes: 97535 at 5.9× median, 97110 at 4.1× median.
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:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $508.76 per claim for T2025 (Waiver services, NOS; per 15 min) — 4.1× the national median of $124.39.
Bills $106.69 per claim for 97535 (Self-care/home management training, per 15 minutes) — 5.9× the national median of $18.18.
Bills $99.50 per claim for 97110 (Therapeutic exercises, each 15 min) — 4.1× the national median of $24.49.
Billing in the top 1% nationally for 1 procedure code: 92508.
This is a statistical summary, not an accusation. See our methodology.
Total Paid
$560.4M
$560,383,491
Total Claims
1.8M
Beneficiaries
116K
15.6 claims/patient
Avg Cost/Claim
$311
#99 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Bancroft a New Jersey Nonprofit Corporation is a Clinic/Center Rehabilitation provider based in Cherry Hill, NJ. From the 2018–2024 period, this provider received $560.4M in Medicaid payments across 1.8M claims.
Why This Matters
This provider received $560.4M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 70,047 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 29 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 74% of total spending.
$416.4M
890K claims
$467.66
$321.53
Comprehensive community support services, per 15 min
$416.4M
890K claims · 74.3%
$64.8M
419K claims
$154.68
$150.51
Day habilitation, waiver; per 15 min
$64.8M
419K claims · 11.6%
Waiver services, NOS; per 15 min
$32.7M
64K claims · 5.8%
$19.8M
94K claims
$210.64
$1,051.57
Residential care, NOS; per diem
$19.8M
94K claims · 3.5%
$6.8M
57K claims
$118.71
$88.91
Habilitation, prevocational, waiver; per 15 min
$6.8M
57K claims · 1.2%
$5.2M
76K claims
$68.76
$67.58
Day care services, adult, per half day
$5.2M
76K claims · 0.9%
$2.4M
3K claims
$891.90
$331.94
Habilitation, residential, waiver; per diem
$2.4M
3K claims · 0.4%
$2.2M
21K claims
$106.69
$18.18
Self-care/home management training, per 15 minutes
$2.2M
21K claims · 0.4%
Therapeutic exercises, each 15 min
$2.0M
20K claims · 0.4%
Speech/hearing/language treatment
$2.0M
16K claims · 0.4%
$1.0M
16K claims
$63.24
$88.27
Habilitation, prevocational, waiver, per diem
$1.0M
16K claims · 0.2%
$944K
26K claims
$36.95
$74.63
Behavioral health counseling & therapy, per 15 min
$944K
26K claims · 0.2%
$823K
14K claims · 0.1%
$577K
5K claims · 0.1%
$553K
26K claims
$21.59
$83.88
Skills training & development, per 15 min
$553K
26K claims · 0.1%
$419K
15K claims · 0.1%
$417K
4K claims
$97.24
$49.05
Nursing assessment/evaluation, per visit
$417K
4K claims · 0.1%
$371K
5K claims · 0.1%
$308K
5K claims
$66.53
$12.12
Therapeutic procedure, group (2+ patients)
$308K
5K claims · 0.1%
Health/behavior intervention, group
$186K
2K claims · 0.0%
Non-emergency transport, per mile
$112K
14K claims · 0.0%
$78K
3K claims · 0.0%
$72K
3K claims · 0.0%
$70K
197 claims
$357.50
$144.05
Day habilitation, waiver, per 15 minutes
$70K
197 claims · 0.0%
$56K
664 claims
$83.59
$13.22
Treatment of speech/language disorder, group, 2+ patients
$56K
664 claims · 0.0%
$38K
4K claims
$8.84
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$38K
4K claims · 0.0%
$13K
530 claims
$24.44
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$13K
530 claims · 0.0%
Specialized supply, NOS; per unit
$11K
90 claims · 0.0%
$438
82 claims
$5.35
$25.06
Office/outpatient visit, low complexity
$438
82 claims · 0.0%
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