Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Jersey (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

The Valley Hospital Inc. (NPI 1013912633)

Field	Value
Entity Type	Organization
Organization	The Valley Hospital Inc.
Address	4 Valley Health Plz
City	Paramus
State	NJ
ZIP	07652
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 20, 2005

Payer Source	Total Paid
Medicaid	$31.5M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

257 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	16,190	$330	$5.3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	16,090	$250	$4.1M
G0378	Hospital observation service, per hour	4,170	$840	$3.5M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	8,190	$420	$3.4M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	6,620	$150	$998.9K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	3,490	$280	$978K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	580	$1,620	$929.8K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	8,320	$100	$848.1K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	3,560	$220	$796.5K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	6,770	$100	$690.9K

Showing 1–10 of 257

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Jersey Distribution

The Valley Hospital Inc. — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

257 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	48	80	6,290	$690	$6.6M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	59	130	3,180	$60	$4.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	86	260	4,240	$220	$4.1M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	95	320	580	$230	$4M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	20	30	9,660	$310	$3.4M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	97	280	920	$200	$2.6M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	136	150	3,680	$30	$1.5M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	58	140	1,410	$180	$1.3M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	65	120	900	$20	$971.9K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	63	120	940	$20	$957.4K

Showing 1–10 of 257

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Valley Hospital Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mary Bernardo	NY	Psychiatric/Mental Health Nurse Practitioner	$294.8K	$14.2K
Michael Faust	NJ	Specialist	$30.2K	$0

Nearby Providers

Other providers in the same ZIP code as The Valley Hospital Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Concepts For Living	NJ	Developmentally Disabled Services Day Training Agency	$0	$123.8M
Children's Aid And Family Services, Inc.	NJ	In Home Supportive Care Agency	$0	$91M
Care Plus Nj, Inc	NJ	Community/Behavioral Health Agency	$0	$38.1M
Bergen County Improvement Authority	NJ	General Acute Care Hospital	$0	$37.5M
Jewish Association For Developmental Disabilities	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$37.3M
Bergen County Adult Day Care LLC	NJ	Adult Day Care Clinic/Center	$0	$28.7M
Help At Home Services	NJ	Home Health Agency	$0	$18.8M
Care Plus Nj, Inc	NJ	Community/Behavioral Health Agency	$0	$17.2M
Care Plus Nj, Inc.	NJ	Community/Behavioral Health Agency	$0	$17M
Bergen County Special Services School District	NJ	Local Education Agency (LEA)	$0	$15.4M

The Valley Hospital Inc. — Billing Profile & Reimbursement Data

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The Valley Hospital Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References