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.

Inspira Medical Centers, Inc. (NPI 1255396024)

Field	Value
Entity Type	Organization
Organization	Inspira Medical Centers, Inc.
Address	501 Front St
City	Elmer
State	NJ
ZIP	08318
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 17, 2006

Payer Source	Total Paid
Medicaid	$30.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

183 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.	16,010	$590	$9.5M
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.	17,090	$370	$6.4M
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.	6,460	$730	$4.7M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	12,100	$340	$4.1M
G0378	Hospital observation service, per hour	2,430	$750	$1.8M
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.	3,270	$230	$745.1K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	2,960	$180	$535.9K
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…	600	$700	$417.5K
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.	3,400	$60	$186.9K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	8,790	$20	$158.2K

Showing 1–10 of 183

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

Inspira Medical Centers, 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

183 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	61	80	6,290	$690	$6.6M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	108	170	21,080	$100	$4.2M
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…	88	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.	81	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.	96	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.	107	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.	111	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.	63	140	1,410	$180	$1.3M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	40	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.	38	120	940	$20	$957.4K

Showing 1–10 of 183

Related Providers

Other providers that share a Tax Identification Number (TIN) with Inspira Medical Centers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Inspira Medical Centers, Inc.	NJ	General Acute Care Hospital	$0	$227M
Inspira Medical Centers, Inc.	NJ	General Acute Care Hospital	$0	$56.6M
Inspira Medical Centers, Inc.	NJ	Emergency Care Clinic/Center	$0	$27.2M
Inspira Medical Center Woodbury, Inc.	NJ	General Acute Care Hospital	$0	$25M
Salem County Hospital Corp.	NJ	General Acute Care Hospital	$0	$13.7M
Linda Degrazia	NJ	Adult Health Nurse Practitioner	$59.1K	$0

Nearby Providers

Other providers in the same ZIP code as Inspira Medical Centers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Schweiger Dermatology, PC	NJ	Dermatology Physician	$0	$17.2M
South Jersey Health System Emergency Physician Services P A	NJ	Emergency Medicine Physician	$0	$14.7M
American Legion Ambulance Assoc	NJ	Ambulance	$555.1K	$721.2K
Ingrid Warmuth	NJ	Dermatology Physician	$767.5K	$0
James Davis	NJ	Internal Medicine Physician	$161.7K	$0
Patricia Thomas	NJ	Family Medicine Physician	$34.3K	$0
James Petrowski	NJ	Certified Registered Nurse Anesthetist	$6.4K	$0

Inspira Medical Centers, Inc. — Billing Profile & Reimbursement Data

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Inspira Medical Centers, 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