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.

Central Jersey Medical Center, Inc. (NPI 1306891791)

Field	Value
Entity Type	Organization
Organization	Central Jersey Medical Center, Inc.
Address	275 Hobart St
City	Perth Amboy
State	NJ
ZIP	08861
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicaid	$11.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

120 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	22,410	$190	$4.2M
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…	119,570	$20	$2.8M
D0120	Periodic oral evaluation - established patient	15,650	$40	$688.5K
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…	16,430	$30	$460K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20,060	$20	$401.2K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	17,940	$20	$394.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	5,350	$50	$240.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	4,490	$50	$220.1K
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…	5,010	$40	$205.5K
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…	3,790	$40	$136.4K

Showing 1–10 of 120

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

Central Jersey Medical Center, Inc. — 13 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

120 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	9	110	4,060	$170	$1.5M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	273	720	1,690	$80	$629.2K
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…	81	90	15,540	$20	$425.8K
D9999	N/A	51	70	100	$150	$262.7K
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…	21	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…	130	3,790	580	$60	$204K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	142	430	550	$50	$190.5K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	147	220	900	$1	$180.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	193	550	280	$120	$131.8K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	68	180	320	$10	$116.9K

Showing 1–10 of 120

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elizabeth Ramirez	NJ	Primary Care Nurse Practitioner	$382.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$65.4M
Caliberhealth Plus	NJ	Home Health Agency	$0	$20.5M
2nd Home Perth Amboy Operations, LLC	NJ	Adult Day Care Clinic/Center	$0	$16.7M
Perth Amboy Public Schools	NJ	Local Education Agency (LEA)	$0	$16.5M
Graceland Adult Medical Day Care,inc	NJ	Adult Day Care Clinic/Center	$0	$16.1M
Bayada Home Health Care, Inc.	NJ	Home Health Agency	$0	$11.7M
County Of Middlesex	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.5M
The Amboys Pediatrics PA	NJ	Legal Medicine	$0	$9.2M
Raritan Bay Medical Center	NJ	General Acute Care Hospital	$0	$8.4M
Accredited Health Services	NJ	Home Health Agency	$0	$7.9M

Central Jersey Medical Center, Inc. — Billing Profile & Reimbursement Data

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Central Jersey 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

Related Providers

Nearby Providers

Frequently Asked Questions

References