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.

Rwjbh Primary Care Services (NPI 1265037501)

Rwjbh Primary Care Services is a internal medicine physician provider located in West Orange, New Jersey. This profile covers 0 Medicare and 94 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Rwjbh Primary Care Services
Address	95 Old Short Hills Rd
City	West Orange
State	NJ
ZIP	07052
Taxonomy	Internal Medicine Physician
NPI Enumerated	December 3, 2020

Payer Source	Total Paid
Medicaid	$8.6M
Medicare	$0

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

94 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	55,050	$70	$3.9M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	64,240	$50	$3.4M
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	10,420	$20	$250.1K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4,370	$50	$236K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,690	$50	$142.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	2,250	$40	$94.3K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	740	$110	$80.4K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1,890	$30	$54.9K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	1,050	$50	$54.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,090	$50	$53.4K

Showing 1–10 of 94

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

Rwjbh Primary Care Services — 4 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

94 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	260	280	360	$560	$567.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	56	4,450	740	$40	$229.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	31	3,790	580	$60	$204K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	102	550	500	$60	$105.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	293	1,020	550	$30	$105.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	299	740	150	$100	$100.3K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	605	1,460	150	$80	$97.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	43	450	470	$60	$97K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	198	590	410	$60	$88.3K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	326	340	290	$30	$85.1K

Showing 1–10 of 94

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rajendrakumar Patel	NJ	Internal Medicine Physician	$717.2K	$0
Isaac Tawfik	NJ	Interventional Cardiology Physician	$714.3K	$0
Said Saleh	NJ	Hematology & Oncology Physician	$531.4K	$0
Samir Jain	NJ	Internal Medicine Physician	$386.7K	$0
Elsie Koh	NJ	Vascular & Interventional Radiology Physician	$376.8K	$570
John Gorechlad	NJ	Surgical Critical Care Physician	$372.1K	$0
Mohammed Usman	NJ	Hospitalist Physician	$324K	$0
Kevin Law	NJ	Pulmonary Disease Physician	$271.2K	$0
Douglas Livornese	NJ	Pulmonary Disease Physician	$252.6K	$0
Nikunj Mehta	NJ	Internal Medicine Physician	$251.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Barnabas Health Medical Group, PC	NJ	Specialist	$0	$39.6M
Anchor Behavioral Solutions LLC	NJ	Community/Behavioral Health Agency	$0	$27.2M
Vna Health Group Of New Jersey, LLC	NJ	Community Based Hospice Care Agency	$0	$24.5M
Premie Home Health Care Services, Inc.	NJ	Home Health Agency	$0	$12.5M
Mental Health Assn Of Essex And Morris	NJ	Case Management Agency	$0	$10.6M
Vna Health Group Of New Jersey, LLC	NJ	Home Health Agency	$0	$10.6M
Kessler Institute For Rehabilitation Inc	NJ	Rehabilitation Hospital	$0	$10.2M
West Orange Board Of Education	NJ	Local Education Agency (LEA)	$0	$8.2M
Maxim Healthcare Services, Inc.	NJ	Home Health Agency	$0	$8.1M
Easter Seals New Jersey	NJ	Mental Illness Community Based Residential Treatment Facility	$0	$8M

Rwjbh Primary Care Services — Billing Profile & Reimbursement Data

Sign up for Rwjbh Primary Care Services — Billing Profile & Reimbursement Data policy alerts

Rwjbh Primary Care Services — Billing Profile & Reimbursement Data

Sign up for Rwjbh Primary Care Services — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References