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.

Atlanticare Regional Medical Center (NPI 1013919315)

Field	Value
Entity Type	Organization
Organization	Atlanticare Regional Medical Center
Address	65 W Jimmie Leeds Rd
City	Pomona
State	NJ
ZIP	08240
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 1, 2005

Payer Source	Total Paid
Medicaid	$215M
Medicare	$0

Key Findings

ATLANTICARE REGIONAL MEDICAL CENTER is effectively a Medicaid-focused hospital: there is no Medicare billing on file while reported Medicaid revenue totals $215M, indicating the facility’s billed inpatient/ED and ambulatory activity is concentrated in the Medicaid program. The provider’s NPI was enumerated ~21 years ago (2005-06-01), indicating an established operating history in the market.

Revenue concentration is high: the precomputed top three Medicaid codes account for 62.6% of the provider’s total Medicaid revenue, showing that a few service lines—primarily emergency department E/M levels and observation—drive the bulk of Medicaid receipts. This concentration suggests financial sensitivity to changes in ED volume or observation utilization.

Emergency care dominates the Medicaid case mix. High-volume ED E/M codes 99283 ($48.5M, 26.3%), 99284 ($45.4M, 24.6%), and 99285 ($21.7M, 11.7%) together constitute the top revenue-producing services, indicating the hospital operates a high-throughput emergency department that is a primary revenue generator on Medicaid.

Competitive standing within New Jersey for ED services is notable: the provider ranks #4 of 262 for 99283 (99th percentile, labeled an extreme outlier) and ranks in the 90s percentiles for several other ED codes (e.g., 99284 at 96th percentile, 99285 at 95th percentile). These rankings characterize the hospital as a major regional ED provider with volumes far above most in-state peers for key ED codes.

Observation and ancillary services are also substantial contributors: G0378 (hospital observation service) generated $14.7M (8.0%) and ranks in the 94th percentile in-state, while high-volume ambulance/mileage codes (A0427, A0429, A0425) together reflect sizable prehospital transport linkage to the hospital’s ED. This mix suggests the hospital’s clinical throughput includes extended observation stays and a strong EMS referral stream.

Behavioral health and outpatient psychiatric services appear as meaningful secondary lines: H0035 (mental health partial hospitalization) produced $7.9M (4.3%) and S9480 (intensive outpatient psychiatric services) produced $5.3M (2.9%), indicating the facility provides both partial hospitalization and intensive outpatient psychiatric care billed to Medicaid at nontrivial scale. These services diversify revenue beyond core ED/observation activity.

Imaging and obstetric services contribute lower but material Medicaid revenue: CT and ultrasound codes (74177, 74176, 70450, 76811, 76817) collectively appear across the top codes list with individual revenues in the $1M–$3M range, implying an on-site radiology and obstetric imaging capacity that supports ED and maternal-fetal care pathways.

A small number of unusually high-volume or anomalous entries deserve attention: OP250 appears as 392.8K claims producing $1.2M and is flagged as an extreme outlier (rank #1 of 170), which suggests a high-frequency low-dollar ancillary billing stream that is atypical compared with in-state peers and may reflect an administrative or encounter-type line item unique to this provider. Review of OP250 coding practice and revenue recognition is warranted for analytical completeness.

Medicaid: Complete Services Breakdown

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

449 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	130,700	$370	$48.5M
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.	99,900	$450	$45.4M
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.	57,360	$380	$21.7M
G0378	Hospital observation service, per hour	30,280	$490	$14.7M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	25,090	$320	$7.9M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	21,220	$300	$6.3M
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.	30,420	$200	$6M
S9480	Intensive outpatient psychiatric services, per diem	6,410	$820	$5.3M
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	7,040	$500	$3.5M
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.	12,750	$230	$3M

Showing 1–10 of 449

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

Atlanticare Regional Medical Center — 7 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

449 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	6	80	6,290	$690	$6.6M
J9271	Injection, pembrolizumab, 1 mg	9	10	340	$6,690	$4.9M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	79	170	21,080	$100	$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.	4	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.	13	320	580	$230	$4M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	5	30	9,660	$310	$3.4M
S9480	Intensive outpatient psychiatric services, per diem	6	30	3,840	$770	$3.3M
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.	14	280	920	$200	$2.6M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	22	30	860	$1,530	$2.1M
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.	23	150	3,680	$30	$1.5M

Showing 1–10 of 449

Related Providers

Other providers that share a Tax Identification Number (TIN) with Atlanticare Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Atlanticare Physician Group PA	NJ	Clinic/Center	$0	$27.1M
Anan Haija	NJ	Rheumatology Physician	$1.1M	$0
Stephen Mcmanus	NJ	Diagnostic Radiology Physician	$547K	$0
Thomas Mueller	NJ	Urology Physician	$527.2K	$0
Gordon Brown	NJ	Urology Physician	$518.6K	$0
David Sussman	NJ	Urology Physician	$516.2K	$0
Swarna Jayasinghe	NJ	Cardiovascular Disease Physician	$477.1K	$0
Ajay Viswambharan	NJ	Diagnostic Radiology Physician	$462.7K	$0
Louis Keeler	NJ	Urology Physician	$431.7K	$0
Rajesh Patel	NJ	Diagnostic Radiology Physician	$430.6K	$0

Nearby Providers

Other providers in the same ZIP code as Atlanticare Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bacharach Institute For Rehabilitation Inc	NJ	Rehabilitation Hospital	$0	$7.5M
Manish Trivedi	NJ	Infectious Disease Physician	$654.3K	$0
Robert Hahn	NJ	Physical Medicine & Rehabilitation Physician	$598.4K	$0
Paras Udani	NJ	Infectious Disease Physician	$384.5K	$0
Craig Anmuth	NJ	Physical Medicine & Rehabilitation Physician	$205.2K	$360
Joseph Lombardi	NJ	Vascular Surgery Physician	$198.9K	$0
Danielle Pineda	NJ	Vascular Surgery Physician	$174.3K	$0
John Mckee	NJ	Gastroenterology Physician	$142.8K	$0
Mauricio Garrido	NJ	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$99.4K	$0
Chun Choi	NJ	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$94.1K	$0

Atlanticare Regional Medical Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References