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.

Virtua Our Lady Of Lourdes Hospital Inc (NPI 1235134024)

Field	Value
Entity Type	Organization
Organization	Virtua Our Lady Of Lourdes Hospital Inc
Address	1600 Haddon Avenue
City	Camden
State	NJ
ZIP	08103
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 17, 2005

Payer Source	Total Paid
Medicaid	$98.3M
Medicare	$0

Key Findings

This provider is effectively single‑payer in our files: there is no Medicare billing on file while Medicaid revenue totals $98.3M, indicating the hospital’s reimbursement footprint is overwhelmingly Medicaid‑driven. Analysts should treat Medicaid as the primary commercial leeway for negotiations and utilization patterns rather than splitting focus with Medicare activity.

Revenue is highly concentrated in a small set of ED and observation services: the top 3 Medicaid codes by revenue account for 64.7% of the provider’s total Medicaid revenue, led by 99284 ($31.1M, 37.1%), 99283 ($16.9M, 20.1%), and G0378 ($6.3M, 7.5%). This concentration signals that a few high‑volume ED/observation codes are the main revenue drivers for the hospital.

The code mix points to an emergency‑department and short‑term observation focus: high revenues and claim counts for 99284, 99283, and additional ED codes (99285 $4.4M, 99282 $3M, 99281 $1.4M) together with G0378 (hospital observation service) suggest the facility operates a high‑throughput ED with substantial observation unit use. Expect operational emphasis on ED throughput, observation bed management, and related staffing.

Cardiac and advanced diagnostic services represent a meaningful secondary service line: 93306 generated $4.9M (5.9%) and ranks #14 of 325 providers in‑state (96th percentile), while supporting codes such as 93017 ($1.3M, 90th percentile) and 78452 ($1.2M, 93rd percentile) indicate above‑typical state volumes for echocardiography, stress testing, and nuclear cardiology. These patterns imply in‑house cardiac imaging capacity and demand that complements the ED base.

Outpatient therapy and procedure volumes are notable outliers: 97530 produced $1.5M and ranks in the 99th percentile (extreme outlier) and 97110 produced $1.1M and ranks in the 98th percentile (extreme outlier), while 96372 ($533K) also ranks in the 99th percentile. These data show unusually high utilization of therapeutic exercise and injection procedures for the Medicaid population, suggesting robust PT/rehab throughput or bundled therapy workflows within outpatient services.

State competitive standing is strong for several Medicaid codes: 99284 ranks #19 of 319 providers in‑state (94th percentile; notably above typical), 93306 ranks #14 of 325 (96th percentile; notably above typical), and 99281 ranks #2 of 87 (99th percentile; notably above typical). Collectively, these ranks indicate the hospital is a major Medicaid provider in New Jersey for ED visits and select cardiac/imaging services rather than a modest participant.

The revenue and unit‑price profile suggests high‑volume, lower‑unit‑price service lines common in safety‑net care: several high‑claim codes have low average paid per claim (e.g., 97530 $31 avg paid/claim; 97110 $15 avg paid/claim), consistent with high throughput of Medicaid patients receiving repetitive therapy and ED care. Financial planning and contract negotiations should account for volume sensitivity and thin per‑unit margins on these lines.

The provider has long tenure in the NPI registry (enumerated 2005‑06‑17, ~21 years ago), supporting an established market presence. Combined with the Medicaid concentration and the above patterns, this suggests an entrenched local acute‑care and ED hub serving a Medicaid‑heavy patient mix in Camden and the surrounding region.

Medicaid: Complete Services Breakdown

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

364 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.	75,980	$410	$31.1M
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.	54,440	$310	$16.9M
G0378	Hospital observation service, per hour	9,370	$670	$6.3M
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…	11,160	$440	$4.9M
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.	11,440	$390	$4.4M
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.	18,750	$160	$3M
OP272	N/A	12,230	$170	$2.1M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	48,700	$30	$1.5M
99281	The provider sees a patient for the lowest level emergency department visit.	11,740	$120	$1.4M
93017	The provider records the electrical activity of the heart to examine for any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular intervals with the…	5,760	$230	$1.3M

Showing 1–10 of 364

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

Virtua Our Lady Of Lourdes Hospital Inc — 5 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

364 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	24	80	6,290	$690	$6.6M
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.	32	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.	19	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.	78	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.	71	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.	19	140	1,410	$180	$1.3M
81220	The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…	18	30	210	$200	$1.3M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	18	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.	18	120	940	$20	$957.4K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	61	110	1,810	$50	$930.1K

Showing 1–10 of 364

Related Providers

Other providers that share a Tax Identification Number (TIN) with Virtua Our Lady Of Lourdes Hospital Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ashraf Malek	NJ	Transplant Hepatology Physician	$65.3K	$0

Nearby Providers

Other providers in the same ZIP code as Virtua Our Lady Of Lourdes Hospital Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Cooper Health System	NJ	General Acute Care Hospital	$0	$354M
Cmc Department Of Medicine Group PA	NJ	Specialist	$0	$77.4M
Cooper Univeristy Emergency Physicians, PC	NJ	Emergency Medicine Physician	$0	$55.5M
Cooper Surgical Associates, PA	NJ	Surgery Physician	$0	$34.7M
Cooper Physician Offices, PA	NJ	Internal Medicine Physician	$0	$33.7M
Cooper Pediatrics	NJ	Pediatrics Physician	$0	$31.9M
Cooper University Radiology, PC	NJ	Diagnostic Radiology Physician	$0	$22.9M
South Jersey Behavioral Health Resources, Inc.	NJ	Mental Illness Community Based Residential Treatment Facility	$0	$21.8M
Cooper Pediatric Specialists, PC	NJ	Pediatrics Physician	$0	$19.6M
Camcare Health Corporation	NJ	Federally Qualified Health Center (FQHC)	$0	$15.9M

Virtua Our Lady Of Lourdes Hospital Inc — Billing Profile & Reimbursement Data

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Virtua Our Lady Of Lourdes Hospital 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