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.

Cooperman Barnabas Medical Center Inc (NPI 1396857488)

Field	Value
Entity Type	Organization
Organization	Cooperman Barnabas Medical Center Inc
Address	94 Old Short Hills Rd
City	Livingston
State	NJ
ZIP	07039
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$136.8M
Medicare	$0

Key Findings

COOPERMAN BARNABAS MEDICAL CENTER INC shows no Medicare billing on file and reports $136.8M in lifetime Medicaid revenue, making its public billing footprint effectively single‑payer Medicaid. Its NPI was enumerated 2006-08-31 (~20 years ago), indicating an established provider presence in the market.

Revenue is highly concentrated in a small set of emergency/observation codes: the top three Medicaid codes (99283, 99284, G0378) account for 57.3% of the provider's total Medicaid revenue. Those three contributors are 99283 ($25.4M, 22.6%), 99284 ($20.5M, 18.3%), and G0378 ($18.4M, 16.4%), which together create a heavy dependence on ED visits and observation services for Medicaid revenue.

The code mix points to an emergency‑department and observation‑centric operating model. High volumes and dollars for 99283 (68.5K claims, $371 avg, $25.4M), 99284 (45.2K claims, $453 avg, $20.5M), and 99285 (34.7K claims, $422 avg, $14.7M) indicate sustained ED throughput, while G0378 (21.7K claims, $848 avg, $18.4M) signals substantial hospital observation-hour billing. This pattern is consistent with a general acute care hospital that funnels significant patient flow through the ED and short‑term observation.

Competitive standing within New Jersey is strong on several high-volume ED and procedural codes but mixed across service lines. 99283 ranks #20 of 262 in-state (93th percentile; notably above typical state volume for this code), while 99284 (rank #36 of 319, 89th percentile) and G0378 (rank #11 of 78, 87th percentile) are high-volume but described as typical/unremarkable relative to peers. Taken together, these ranks position the hospital as a major regional ED participant but not universally dominant across all specialties.

Beyond the ED, the provider reports notable volumes in ancillary and outpatient services that support an integrated hospital outpatient platform. Cardiac imaging 93306 ($4.1M, 3.7%) and stress monitoring 93017 ($1.1M, 1.0%) are both in high state percentiles (90th and 85th respectively), while comprehensive labs 80053 (115.7K claims, $19 avg, $2.2M) and phlebotomy 36415 (140.3K claims, $5 avg, $701.5K) reflect very high procedural throughput that aligns with the ED and inpatient testing demand.

Infusion and oncology services are present and materially contribute to Medicaid revenue: chemotherapy 96413 ($3M, 2.7%), add‑on 96415 ($733.3K, 0.7%), and infusion codes 96365 ($989.3K, 0.9%) and 96361 ($727.3K, 0.6%) show consistent utilization, with 96413 and 96361 ranked in the 92nd and 92nd percentiles respectively (described as typical or notably above typical). High-cost biologic billing is visible via J2350 (130 claims, $16829 avg, $2.2M) and Q5117 (256 claims, $2796 avg, $715.8K), indicating occasional high‑dollar drug administrations despite small claim counts.

Service lines with unusually high claim volumes relative to peers include therapeutic exercise and manual therapy (97110: 34K claims, $33 avg, $1.1M; 97140: 25.4K claims, $31 avg, $786.9K), where 97110 ranks in the 95th percentile (notably above typical state volume) and 97140 ranks in the 95th percentile (typical, unremarkable). These data points suggest the hospital operates a sizable rehabilitation/therapy throughput in addition to acute care.

The heavy dependence on ED E/M and observation codes (top three = 57.3% of Medicaid revenue) creates concentration risk: shifts in Medicaid ED reimbursement, observation‑status policy, or local patient flow could materially affect overall Medicaid revenue. For analysts evaluating payer negotiations or capacity planning, the hospital’s positioning as an ED/observation revenue generator and its notable high‑volume ancillary services (labs, phlebotomy, therapy, infusion) are the clearest operational levers to monitor.

Medicaid: Complete Services Breakdown

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

483 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	68,490	$370	$25.4M
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.	45,200	$450	$20.5M
G0378	Hospital observation service, per hour	21,710	$850	$18.4M
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.	34,730	$420	$14.7M
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…	5,750	$720	$4.1M
OP250	N/A	121,940	$30	$4M
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.	14,930	$220	$3.3M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	9,320	$330	$3M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	115,670	$20	$2.2M
J2350	Injection, ocrelizumab, 1 mg	130	$16,830	$2.2M

Showing 1–10 of 483

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

Cooperman Barnabas 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

483 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	11	80	6,290	$690	$6.6M
J9271	Injection, pembrolizumab, 1 mg	9	10	340	$6,690	$4.9M
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.	20	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.	36	320	580	$230	$4M
J2323	Injection, natalizumab, 1 mg	3	10	1,050	$3,490	$3M
J2350	Injection, ocrelizumab, 1 mg	3	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.	28	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.	81	150	3,680	$30	$1.5M
J2505	Injection, pegfilgrastim, 6 mg	9	10	170	$3,180	$1.4M
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.	24	140	1,410	$180	$1.3M

Showing 1–10 of 483

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Universal Rehabilitation And Fitness, Inc.	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$191M
The Arc Of Essex County, Inc	NJ	In Home Supportive Care Agency	$0	$158.9M
Pm Pediatrics Of Livingston, PLLC	NJ	Urgent Care Clinic/Center	$0	$40.5M
Jewish Service For The Developmentally Disabled Of Metrowest, Inc.	NJ	Developmentally Disabled Services Day Training Agency	$0	$40.2M
Tyce LLC	NJ	Home Health Agency	$0	$19.3M
The Children's Institute	NJ	Developmentally Disabled Services Day Training Agency	$0	$17.3M
Rwjbh Observation Associates LLC	NJ	Emergency Medicine Physician	$0	$15.9M
Atlantic Ambulance Corp.	NJ	Ambulance	$8.8M	$6.3M
Vitas Healthcare Corporation Atlantic	NJ	Community Based Hospice Care Agency	$0	$11.1M
Saint Barnabas Outpatient Centers	NJ	Radiology Clinic/Center	$3.1M	$5.8M

Cooperman Barnabas Medical Center Inc — Billing Profile & Reimbursement Data

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Cooperman Barnabas Medical Center Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References