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.

Hmh Hospitals Corporation (NPI 1457456279)

Field	Value
Entity Type	Organization
Organization	Hmh Hospitals Corporation
Address	30 Prospect Ave
City	Hackensack
State	NJ
ZIP	07601
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 14, 2006

Payer Source	Total Paid
Medicaid	$333.3M
Medicare	$0

Key Findings

HMH HOSPITALS CORPORATION shows an effectively single-payer Medicaid footprint: there is no Medicare billing on file while reported Medicaid revenue totals $333.3M, and the provider's top 3 Medicaid codes account for 39.4% of its Medicaid revenue. This concentration indicates that Medicaid is the dominant commercial payer relationship on file and that a small set of service lines drives a disproportionate share of revenue.

Revenue is heavily concentrated in emergency department and observation services: 99284 ($33.7M, 15.7%), 99283 ($31.3M, 14.6%), and G0378 ($19.3M, 9.0%) are the top three Medicaid revenue drivers and together represent the precomputed 39.4% share. Those three codes being the largest contributors signals operational dependence on ED encounters and hospital observation hours for Medicaid revenue.

The code mix points to a high-volume acute care and emergency operation: prominent Medicaid volumes for 99283 (107.1K claims) and 99284 (84.6K claims), with 99283 ranking #7 of 262 in-state (98th percentile) and 99284 ranking #16 of 319 (95th percentile), indicate the hospital is a major destination for ED care among Medicaid patients. High claims counts across 99282–99285 and the presence of G0378 (hospital observation service) further suggest a significant observation-unit or short-stay throughput supporting ED dispositions.

HMH also operates a sizable oncology infusion and chemotherapy program: 96413 ($11.7M) ranks #1 of 77 providers in-state (100th percentile) and is labeled an extreme outlier, and infusion administration codes 96365 ($4.7M, #1 of 125, 100th percentile) and 96375 ($6.7M, #2 of 91, 99th percentile) are likewise extreme outliers or near-extreme. High-revenue biologic/oncology drug codes such as J9271 ($17M, rank #2 of 11, 90th percentile), J1745 ($10.7M), J9312 ($7.1M, #1 of 4, 100th percentile), J9306 ($5.7M, #1 of 2, 100th percentile), and J9299 ($5M, #1 of 3, 100th percentile) reinforce that infusion oncology is a core service line and a meaningful revenue center for Medicaid.

The provider also demonstrates concentrated advanced imaging and procedural capacity: PET/CT 78815 ($3.1M) is an extreme outlier and ranks #1 of 43 providers in-state (100th percentile), while CT abdomen/pelvis 74177 ($3.9M) ranks in the 95th percentile. Cardiac imaging/procedural supervision code 93458 ($2.9M, rank #6 of 49, 90th percentile) and MRI brain 70553 ($2.9M, rank #4 of 87, 97th percentile) indicate that high-acuity imaging and interventional or diagnostic procedures contribute meaningfully to Medicaid revenue.

Competitive standing across Medicaid lines is strong: the facility ranks in the top percentiles for multiple high-volume ED and infusion codes (for example, 99283 at the 98th percentile and multiple infusion/chemotherapy codes at the 99th–100th percentiles), characterizing it as a major in-state provider for emergency and oncology services. Where ranks are mid-range (for example, J1745 at the 60th percentile and A0427 at the 54th percentile) the provider appears more typical, but its leadership on several extreme outlier codes indicates dominant pockets of specialty throughput.

Ancillary and transport services are also notable contributors: ambulance basic life support A0429 ($4.9M) ranks #18 of 264 in-state (94th percentile), and advanced life support A0427 ($3.4M) reports meaningful volume, supporting the picture of a high-volume ED that receives transported patients. Procedural supply and access codes such as 36430 ($2.8M) rank #1 of 33 (100th percentile) and underscore significant inpatient/outpatient procedural throughput that complements the ED and infusion volumes.

HMH HOSPITALS CORPORATION has a long-tenured NPI (enumerated 2006-09-14, ~20 years ago), consistent with an established regional acute-care institution. Combined with $333.3M in Medicaid revenue and the code-level patterns above, the data describe a mature hospital with integrated emergency, observation, infusion oncology, advanced imaging, and procedural capabilities that drive much of its Medicaid business.

Medicaid: Complete Services Breakdown

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

656 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.	84,590	$400	$33.7M
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.	107,060	$290	$31.3M
G0378	Hospital observation service, per hour	19,270	$1,000	$19.3M
J9271	Injection, pembrolizumab, 1 mg	1,680	$10,140	$17M
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.	31,450	$390	$12.3M
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…	30,600	$380	$11.7M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	1,180	$9,010	$10.7M
J9312	Injection, rituximab, 10 mg	1,110	$6,350	$7.1M
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	46,520	$140	$6.7M
J9306	Injection, pertuzumab, 1 mg	830	$6,910	$5.7M

Showing 1–10 of 656

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

Hmh Hospitals Corporation — 14 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

656 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	12	80	6,290	$690	$6.6M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	5	10	680	$1,920	$5.1M
J9271	Injection, pembrolizumab, 1 mg	2	10	340	$6,690	$4.9M
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…	50	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.	7	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.	16	320	580	$230	$4M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	14	30	9,660	$310	$3.4M
J9306	Injection, pertuzumab, 1 mg	1	10	480	$6,460	$3.1M
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.	32	280	920	$200	$2.6M
J9299	Injection, nivolumab, 1 mg	1	10	460	$5,830	$2.5M

Showing 1–10 of 656

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hmh Hospitals Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$128.2M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$79.2M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$72.1M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$65.4M
Hackensack Meridian Health Medical Group - Specialty Care PC	NJ	Surgical Critical Care Physician	$0	$50.1M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$50M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$34.8M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$29.3M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$26.4M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$18.7M

Nearby Providers

Other providers in the same ZIP code as Hmh Hospitals Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Care Finders Total Care LLC	NJ	Home Health Agency	$0	$710M
Confident Care Corp	NJ	Nursing Care Agency	$0	$115.1M
Bergen's Promise, Inc.	NJ	Case Management Agency	$0	$91.3M
The Center For Family Support, New Jersey, Inc.	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$76.6M
The Arc Of Bergen And Passaic Counties, Inc.	NJ	Community/Behavioral Health Agency	$0	$68.2M
Loving Care Agency, Inc	NJ	Home Health Agency	$0	$59.1M
Comprehensive Behavioral Healthcare, Inc.	NJ	Respite Care	$0	$48.2M
Alpha Care Home Health Services Of Nj, Inc.	NJ	Home Health Agency	$0	$28.2M
Eastern Nursing Services I, Inc	NJ	Home Health Agency	$0	$23M
Angel Care	NJ	Home Health Agency	$0	$20.3M

Hmh Hospitals Corporation — Billing Profile & Reimbursement Data

Sign up for Hmh Hospitals Corporation — Billing Profile & Reimbursement Data policy alerts

Hmh Hospitals Corporation — Billing Profile & Reimbursement Data

Sign up for Hmh Hospitals Corporation — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References