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.

Newark Beth Israel Medical Center Inc (NPI 1215027966)

Field	Value
Entity Type	Organization
Organization	Newark Beth Israel Medical Center Inc
Address	201 Lyons Ave
City	Newark
State	NJ
ZIP	07112
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 13, 2006

Payer Source	Total Paid
Medicaid	$380.1M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the claims data: there is no Medicare billing on file and total Medicaid revenue is $380.1M, indicating Medicaid is the dominant and essentially exclusive public payer in the dataset. The NPI was enumerated on 2006-10-13 (~20 years ago), confirming long tenure in the market.

Revenue is highly concentrated in a small set of services: the precomputed top three Medicaid codes (99283, G0378, 99284) account for 50.4% of the provider's total Medicaid revenue. Those top three line items are 99283 ($56.2M, 20.3%), G0378 ($45M, 16.2%), and 99284 ($38.4M, 13.9%), so half of Medicaid revenue is driven by emergency department and observation services.

The code mix shows the hospital operates with a high-volume emergency department and observation unit. High volumes for ED E/M codes — 99283 (135.8K claims, $414 avg, $56.2M), 99284 (78.4K claims, $490 avg, $38.4M), and 99285 (54.1K claims, $461 avg, $24.9M) — together with G0378 (40.6K claims, $1109 avg, $45M) point to heavy throughput of acute unscheduled care and extended observation stays. This pattern suggests operational emphasis on ED capacity and observation‑unit workflows rather than elective procedural volume.

Competitively, the provider is a market leader in observation and certain emergency services within the state. G0378 ranks #1 of 78 providers in-state (100th percentile; notably above typical state volume) and 99283 ranks #3 of 262 (99th percentile; labeled an extreme outlier), indicating dominant statewide standing for observation hours and exceptional ED visit volume relative to peers.

Cardiology imaging is a meaningful secondary service line: transthoracic and Doppler echocardiography codes (93306 $18.8M, 93303 $9.5M, 93320 $6.7M, 93325 $6.3M) appear repeatedly in the top codes and generally rank in high state percentiles (93306 at 98th, 93325 at 98th with an extreme outlier label). These data support substantial in‑house cardiac imaging capacity and referral or inpatient cardiology activity beyond ED care.

The provider also shows strong perinatal and obstetric diagnostic volume: 76818 appears as $3M and ranks #1 of 46 providers in-state (100th percentile; extreme outlier), and 76819 contributes $2.9M (96th percentile). This combination of high‑ranking biophysical profile activity alongside large ED and observation volumes suggests significant maternity services and antepartum surveillance in the facility.

Behavioral health and diagnostic monitoring are notable ancillary lines: S9480 (intensive outpatient psychiatric) accounts for $6M, H0035 (partial hospitalization) $4M, and sleep/neurology testing shows up with 95810 (polysomnography) at $5.4M and 95813 (extended EEG) at $1.9M ranked #1 in-state (100th percentile; extreme outlier). These figures indicate established programs in psychiatric outpatient/partial hospitalization and advanced sleep/EEG diagnostics supporting diverse clinical capabilities.

Despite the concentration in ED/observation (50.4% from the top three codes), the hospital retains a broad Medicaid revenue base across procedural, imaging, lab, oncology, and endoscopy services (examples include 43239 $6.9M, 96413 $3.1M, 80053 $2.7M, 45378 $1.9M). That diversification shows full‑service hospital operations, but the facility remains materially exposed to changes in reimbursement or utilization affecting high‑volume ED and observation codes.

Medicaid: Complete Services Breakdown

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

673 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.	135,850	$410	$56.2M
G0378	Hospital observation service, per hour	40,600	$1,110	$45M
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.	78,440	$490	$38.4M
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.	54,080	$460	$24.9M
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…	15,030	$1,250	$18.8M
OP250	N/A	221,980	$50	$10M
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.	35,280	$280	$9.7M
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	8,400	$1,140	$9.5M
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.	3,720	$1,850	$6.9M
93320	The provider performs a complete Doppler echocardiography, which uses high–frequency sound waves to create a two–dimensional image of the heart, while the use of Doppler technology allows…	9,720	$690	$6.7M

Showing 1–10 of 673

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

Newark Beth Israel Medical Center Inc — 12 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

673 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	1	80	6,290	$690	$6.6M
J9271	Injection, pembrolizumab, 1 mg	8	10	340	$6,690	$4.9M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	91	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.	3	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.	18	320	580	$230	$4M
S9480	Intensive outpatient psychiatric services, per diem	5	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.	17	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.	15	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.	51	150	3,680	$30	$1.5M
86480	The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies.	14	40	810	$30	$1.4M

Showing 1–10 of 673

Related Providers

Other providers that share a Tax Identification Number (TIN) with Newark Beth Israel Medical Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anshu Garg	NJ	Cardiovascular Disease Physician	$759.9K	$0
Mukesh Patel	NJ	Internal Medicine Physician	$108.9K	$467.8K
Howard Kuo	NJ	Neurology Physician	$244.3K	$6.6K
Seung Lee	NJ	Psychiatry Physician	$225.3K	$0
Cindy Sturt	NJ	Vascular Surgery Physician	$150.2K	$0

Nearby Providers

Other providers in the same ZIP code as Newark Beth Israel Medical Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Newark Beth Israel Emergency Medical Associates LLC	NJ	Emergency Medicine Physician	$0	$7.4M
Chunguang Chen	NJ	Cardiovascular Disease Physician	$97.5K	$0
Haneen Ali	NJ	Diagnostic Radiology Physician	$75K	$12K
Sang Lee	NJ	Nuclear Imaging & Therapy Physician	$85.6K	$0
Frederick Sardari	NJ	Cardiovascular Disease Physician	$78.1K	$0
Jose Diaz Hernandez	NJ	Vascular & Interventional Radiology Physician	$77.5K	$0
Lin Wang	NJ	Student in an Organized Health Care Education/Training Program	$76.2K	$0
Gautam Visveswaran	NJ	Interventional Cardiology Physician	$41.4K	$0
Manpreet Sahota	NJ	Anesthesiology Physician	$12.8K	$0
Igor Gosev	NJ	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$7.1K	$0

Newark Beth Israel Medical Center Inc — Billing Profile & Reimbursement Data

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Newark Beth Israel Medical Center Inc — 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