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.

Virtua - West Jersey Health System, Inc. (NPI 1528064409)

Field	Value
Entity Type	Organization
Organization	Virtua - West Jersey Health System, Inc.
Address	100 Bowman Dr
City	Voorhees
State	NJ
ZIP	08043
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 24, 2005

Payer Source	Total Paid
Medicaid	$255.9M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only biller: Total Medicare revenue is listed as none (no Medicare billing on file), while Total Medicaid revenue is $255.9M. Analysts should treat Medicaid as the dominant and only payer in this dataset when evaluating volume and revenue patterns.

Revenue is highly concentrated in a small set of emergency and behavioral-health codes: the top three Medicaid codes (99284, 99283, H0035) account for 67.9% of this provider's total Medicaid revenue. Those three codes generate $74.9M (34.4%) from 99284, $46.3M (21.2%) from 99283, and $26.8M (12.3%) from H0035, indicating a small number of service lines drive most revenue.

The code mix points to an ED- and observation-centered acute-care operation with a substantial behavioral-health partial hospitalization program. High-volume emergency department codes 99284 (158.4K claims, $473 avg paid/claim, $74.9M) and 99283 (127.1K claims, $364 avg paid/claim, $46.3M), together with hospital observation G0378 (22.3K claims, $619 avg paid/claim, $13.8M), suggest the hospital handles large ambulatory emergency and short-stay observation throughput. H0035 (90K claims, $298 avg paid/claim, $26.8M) shows a material partial hospitalization mental-health service line embedded in the same billing footprint.

Competitive standing within New Jersey is pronounced for several service lines: 99284 ranks #5 of 319 providers in-state (99th percentile; extreme outlier) and 99283 ranks #6 of 262 (98th percentile; extreme outlier), indicating this hospital is a top-tier ED volume leader in the state. Ambulance transport A0427 ranks #1 of 29 providers in-state (100th percentile; notably above typical state volume), reinforcing a role as a major receiving center for emergency transport.

Beyond ED/EMS and behavioral health, the provider reports substantial outpatient therapy and procedure volumes that exceed typical state norms for many codes. Physical-therapy codes such as 97110 (144K claims, $15 avg paid/claim, $2.2M) rank #2 of 728 providers in-state (100th percentile; extreme outlier) and 97140 (62.4K claims, $34 avg paid/claim, $2.1M) ranks #7 of 434 (99th percentile; extreme outlier), while injection administration 96372 (64.5K claims, $18 avg paid/claim, $1.2M) ranks #1 of 575 (100th percentile; extreme outlier), indicating sizable ambulatory rehab and procedural throughput alongside ED care.

Imaging and cardiac diagnostic services are also present at scale, supporting a full-service acute-care profile: CT abdomen/pelvis with contrast 74177 (14.3K claims, $192 avg paid/claim, $2.7M), CT without contrast 74176 (9.4K claims, $157 avg paid/claim, $1.5M), head CT 70450 (17.7K claims, $70 avg paid/claim, $1.2M), and echocardiography 93306 (5.6K claims, $261 avg paid/claim, $1.5M) all appear in the top Medicaid list, consistent with diagnostic capacity supporting ED and inpatient flows.

The provider has an established operating history with NPI enumeration on 2005-06-24 (~21 years ago), indicating long-standing presence in the market; that tenure, paired with the high-volume ED and support-service footprint, suggests mature clinical and logistics capacity for high-acuity care.

From a payer or utilization-management perspective, the combination of extreme percentile ranks and a 67.9% concentration in three codes is a signal that utilization, capacity planning, and network contracting should focus on ED throughput, observation services, partial hospitalization (H0035), and related transport/ambulance activity. Multiple codes are labeled in the data as "extreme outlier" or "notably above typical," which warrants benchmarking against peer hospitals for operational drivers rather than implying any causal judgment.

Medicaid: Complete Services Breakdown

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

480 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.	158,360	$470	$74.9M
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.	127,080	$360	$46.3M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	89,960	$300	$26.8M
G0378	Hospital observation service, per hour	22,280	$620	$13.8M
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.	26,580	$360	$9.4M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	39,610	$220	$8.8M
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.	42,660	$190	$8M
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.	14,270	$190	$2.7M
A0434	Specialty care transport (sct)	5,840	$430	$2.5M
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…	143,990	$20	$2.2M

Showing 1–10 of 480

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

Virtua - West Jersey Health System, 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

480 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	10	80	6,290	$690	$6.6M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	25	170	21,080	$100	$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.	6	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.	5	320	580	$230	$4M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	1	30	9,660	$310	$3.4M
J2350	Injection, ocrelizumab, 1 mg	4	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.	38	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.	121	150	3,680	$30	$1.5M
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.	4	140	1,410	$180	$1.3M
81220	The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…	21	30	210	$200	$1.3M

Showing 1–10 of 480

Related Providers

Other providers that share a Tax Identification Number (TIN) with Virtua - West Jersey Health System, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dennis Reilly	NJ	Anesthesiology Physician	$44.5K	$930
Mark Liccini	NJ	Anesthesiology Physician	$44.9K	$0

Nearby Providers

Other providers in the same ZIP code as Virtua - West Jersey Health System, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Physician Associates Of South Jersey P C	NJ	Emergency Medicine Physician	$0	$30.6M
Personalized Independent Living Opportunities And Training Services	NJ	Community Health Worker	$0	$28.1M
Kennedy Medical Group Practice, P.C.	NJ	Family Medicine Physician	$0	$12.9M
It Takes A Family	NJ	Adolescent and Children Mental Health Clinic/Center	$0	$12.8M
Growing Smiles Of Voorhees	NJ	Dental Clinic/Center	$0	$12.6M
Partnership For Successful Living Inc	NJ	Community/Behavioral Health Agency	$0	$12.5M
Forkidcare, LLC	NJ	Medically Fragile Infants and Children Day Care	$0	$9.4M
All In 2gether LLC	NJ	Developmentally Disabled Services Day Training Agency	$0	$8.2M
Total Family Solutions, LLC	NJ	Community/Behavioral Health Agency	$0	$7.9M
Emeritus Corporation	NJ	Assisted Living Facility	$0	$7.4M

Virtua - West Jersey Health System, Inc. — Billing Profile & Reimbursement Data

Sign up for Virtua - West Jersey Health System, Inc. — Billing Profile & Reimbursement Data policy alerts

Virtua - West Jersey Health System, Inc. — Billing Profile & Reimbursement Data

Sign up for Virtua - West Jersey Health System, Inc. — 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