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.

Ahs Hospital Corp. (NPI 1053384776)

Field	Value
Entity Type	Organization
Organization	Ahs Hospital Corp.
Address	100 Madison Ave
City	Morristown
State	NJ
ZIP	07960
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 13, 2006

Payer Source	Total Paid
Medicaid	$155.9M
Medicare	$0

Key Findings

This provider is effectively single‑payer in Medicare/Medicaid mix: Medicare revenue is listed as none (no Medicare billing on file) while total Medicaid revenue is $155.9M, so all reported federal fee‑for‑service activity in our dataset is driven by Medicaid. Analysts should treat AHS HOSPITAL CORP. as a Medicaid‑focused billing entity in this profile rather than a dual‑payer hospital for fee‑for‑service Medicare relationships.

Revenue is concentrated in a small set of emergency/observation codes: the top three Medicaid revenue drivers (99283, 99284, G0378) account for 31.2% of the provider's Medicaid revenue. Individually those codes equal $10M (99283, 11.3%), $9.5M (99284, 10.7%), and $8.1M (G0378, 9.1%), signaling that ED visits and hourly hospital observation services are primary revenue engines.

The code mix indicates a high‑volume emergency department and observation practice supplemented by acute care throughput: 99283/99284/99285 appear among the top revenue codes (99285 = $7M, 7.9%), and G0378 (hospital observation service) is $8.1M, which together point to substantial ED visit volume with downstream observation care. This pattern suggests operational emphasis on acute episodic care and short‑term monitoring rather than elective surgical case mix.

AHS demonstrates strong procedural and diagnostic capacity across cardiology, GI, and imaging: 93306 (echo) generates $7.3M and ranks #10 of 325 in‑state (97th percentile, notably above typical state volume), 43239 (EGD with biopsy) is $5.8M and ranks #7 of 284 (98th percentile, notably above typical state volume), and 45380 (colonoscopy with biopsy) is $1.9M and ranks #10 of 169 (95th percentile). These high percentiles indicate the hospital is a major state provider for several interventional/diagnostic specialties.

Outpatient therapy and ancillary services are unusually large relative to most peers: 97110 (therapeutic exercise) shows 108.5K claims for $3.5M and ranks #5 of 728 (99th percentile, extreme outlier), 97140 (manual therapy) is 63.5K claims for $2.2M and ranks #6 of 434 (99th percentile, extreme outlier), and OP710 is $4.1M with 37.4K claims and ranks #1 of 76 (100th percentile, extreme outlier). These signals point to a sizeable outpatient rehabilitation and ancillary throughput that materially contributes to Medicaid revenue.

The provider also bills for infusion/oncology and advanced pharmaceuticals: J1745 (infliximab) is $3.1M (3.5% of Medicaid revenue) and J9271 (pembrolizumab) is $2.4M (2.7%), with 96413 (chemotherapy administration) contributing $2.1M. While some of these ranks are mid‑range in state peer sets, the dollar volumes indicate established infusion and oncology service lines supporting high‑cost drug administration.

Several services are clear statewide outliers where AHS is a dominant actor: 93306 (97th percentile, notably above typical), 43239 (98th percentile, notably above typical), 94060 (98th percentile, extreme outlier), 95800 (rank #1 of 51, 100th percentile, extreme outlier), and OP710 (rank #1, 100th percentile, extreme outlier). Collectively these ranks show AHS is a major competitor in echocardiography, GI endoscopy, pulmonary testing, sleep studies, and certain outpatient procedures within New Jersey.

The provider has long operational tenure and high throughput consistent with a large acute care center: NPI enumerated 2006-02-13 (~20 years ago) and several codes show very large claim counts (for example, 97110 = 108.5K claims; OP270 = 49.3K claims; OP710 = 37.4K claims), supporting the scale implied by $155.9M in Medicaid revenue. Analysts should interpret the profile as an established hospital with broad service lines concentrated in ED/observation, diagnostics, outpatient therapy, and infusion services.

Medicaid: Complete Services Breakdown

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

626 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.	37,910	$270	$10M
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.	30,940	$310	$9.5M
G0378	Hospital observation service, per hour	16,620	$490	$8.1M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	14,220	$510	$7.3M
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.	18,690	$380	$7M
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.	5,120	$1,140	$5.8M
OP710	N/A	37,410	$110	$4.1M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	108,500	$30	$3.5M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	680	$4,620	$3.1M
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…	25,460	$100	$2.5M

Showing 1–10 of 626

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

Ahs Hospital Corp. — 10 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

626 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	15	80	6,290	$690	$6.6M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	6	10	680	$1,920	$5.1M
J9271	Injection, pembrolizumab, 1 mg	5	10	340	$6,690	$4.9M
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…	31	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.	45	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.	56	320	580	$230	$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.	54	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.	19	30	860	$1,530	$2.1M
J1561	Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg	3	10	990	$1,600	$1.6M
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.	64	150	3,680	$30	$1.5M

Showing 1–10 of 626

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ahs Hospital Corp.	NJ	General Acute Care Hospital	$0	$125.2M
Ahs Hospital Corp.	NJ	General Acute Care Hospital	$0	$36.2M
Ahs Hospital Corp	NJ	General Acute Care Hospital	$0	$33.6M
Ahs Hospital Corp	NJ	General Acute Care Hospital	$0	$16.3M
Joshua Braun	NJ	Psychiatry Physician	$73K	$0
Peter Bolo	NJ	Psychiatry Physician	$36K	$0
Jonathan Torres	NJ	Family Medicine Physician	$16.7K	$0

Nearby Providers

Other providers in the same ZIP code as Ahs Hospital Corp., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Practice Associates Medical Group	NJ	Internal Medicine Physician	$0	$49.3M
Spring Hills At Morristown	NJ	Assisted Living Facility	$0	$11.7M
Bader Pedemonte	NJ	Hematology (Pathology) Physician	$4.2M	$1.5K
Vinod Voleti	NJ	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Constance Gore	NJ	Acute Care Nurse Practitioner	$1.1M	$0
Tatyana Marx	NJ	Neurology Physician	$1M	$0
Janet Bartov	NJ	Rheumatology Physician	$787.4K	$0
David Taylor	NJ	Urology Physician	$775.3K	$0
Thomas Lee	NJ	Vascular Surgery Physician	$684.3K	$0
Sean Lalin	NJ	Ophthalmology Physician	$617.8K	$0

Ahs Hospital Corp. — 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