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.

South Jersey Health System Emergency Physician Services P A (NPI 1306871314)

Field	Value
Entity Type	Organization
Organization	South Jersey Health System Emergency Physician Services P A
Address	501 Front St
City	Elmer
State	NJ
ZIP	08318
Taxonomy	Emergency Medicine Physician
NPI Enumerated	July 11, 2006

Payer Source	Total Paid
Medicaid	$14.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 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.	121,630	$50	$6.2M
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.	92,850	$60	$5.5M
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.	89,350	$30	$2.9M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	1,480	$90	$131.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	36,350	$1	$36.3K
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.	930	$20	$14.9K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	30	$1	$120
99053	The provider renders overnight services at a 24 hour facility.	48,810	$0	$0
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	10	$0	$0

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

South Jersey Health System Emergency Physician Services P A — 3 of 7 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	12	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.	10	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.	7	280	920	$200	$2.6M
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.	81	140	1,410	$180	$1.3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	46	230	210	$160	$189K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	21	280	880	$1	$42.6K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	125	170	80	$10	$2.9K
99053	The provider renders overnight services at a 24 hour facility.	3	20	2,620	$1	$2K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	325	340	240	$1	$40

Related Providers

Other providers that share a Tax Identification Number (TIN) with South Jersey Health System Emergency Physician Services P A, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jessica Myers	NJ	Family Nurse Practitioner	$182.2K	$0
Douglas Ader	PA	Emergency Medicine Physician	$170.7K	$0
Joseph Muscara	PA	Emergency Medicine Physician	$159.9K	$1.8K

Nearby Providers

Other providers in the same ZIP code as South Jersey Health System Emergency Physician Services P A, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Inspira Medical Centers, Inc.	NJ	General Acute Care Hospital	$0	$30.5M
Schweiger Dermatology, PC	NJ	Dermatology Physician	$0	$17.2M
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

South Jersey Health System Emergency Physician Services P A — Billing Profile & Reimbursement Data

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South Jersey Health System Emergency Physician Services P A — Billing Profile & Reimbursement Data

Sign up for South Jersey Health System Emergency Physician Services P A — 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