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.

Centrastate Medical Center, Inc (NPI 1295718450)

Field	Value
Entity Type	Organization
Organization	Centrastate Medical Center, Inc
Address	901 W Main St
City	Freehold
State	NJ
ZIP	07728
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 22, 2005

Payer Source	Total Paid
Medicaid	$47.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

246 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.	21,050	$590	$12.3M
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.	28,890	$340	$9.8M
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.	7,930	$550	$4.4M
G0378	Hospital observation service, per hour	6,530	$450	$3M
J2323	Injection, natalizumab, 1 mg	1,050	$2,280	$2.4M
J2350	Injection, ocrelizumab, 1 mg	220	$8,860	$2M
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.	7,030	$190	$1.3M
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	27,000	$40	$1.1M
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…	32,490	$30	$974.8K
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.	3,170	$220	$693.1K

Showing 1–10 of 246

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

Centrastate Medical Center, Inc — 1 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

246 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	37	80	6,290	$690	$6.6M
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…	121	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.	54	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.	81	320	580	$230	$4M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	23	30	9,660	$310	$3.4M
J2323	Injection, natalizumab, 1 mg	2	10	1,050	$3,490	$3M
J2350	Injection, ocrelizumab, 1 mg	2	10	130	$14,830	$2.8M
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.	98	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.	47	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.	32	40	810	$30	$1.4M

Showing 1–10 of 246

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Golden Years Care LLC	NJ	Adult Day Care Clinic/Center	$0	$49.5M
Collaborative Support Program Of New Jersey, Inc	NJ	Community/Behavioral Health Agency	$0	$12.2M
Community Care Inc	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.3M
Tender Smiles 4 Kids Of Monmouth, LLC	NJ	Pediatric Dentistry	$0	$9.5M
Bhavesh Balar	NJ	Hematology & Oncology Physician	$4.2M	$0
Hisham El-kadi	NJ	Rheumatology Physician	$3M	$0
Elena Ng	NJ	Ophthalmology Physician	$2.4M	$0
Jeffrey Silberberg	NJ	Hematology & Oncology Physician	$2M	$0
Karabi Sinha	NJ	Anatomic Pathology & Clinical Pathology Physician	$1.9M	$0
James Fischkoff	NJ	Rheumatology Physician	$1.1M	$0

Centrastate Medical Center, Inc — Billing Profile & Reimbursement Data

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Centrastate Medical Center, 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

Nearby Providers

Frequently Asked Questions

References