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.

The Cooper Health System (NPI 1568442309)

Field	Value
Entity Type	Organization
Organization	The Cooper Health System
Address	1 Cooper Plz
City	Camden
State	NJ
ZIP	08103
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 18, 2006

Payer Source	Total Paid
Medicaid	$354M
Medicare	$0

Key Findings

THE COOPER HEALTH SYSTEM reports no Medicare billing on file and instead relies almost entirely on Medicaid, with Total Medicaid revenue of $354M; this makes the provider effectively single-payer in the available claims data and concentrates financial exposure in state Medicaid reimbursement. The NPI was enumerated on 2006-01-18 (~20 years ago), indicating an established provider presence in the market.

Revenue concentration is high: the provider's three top Medicaid revenue drivers are emergency department E/M visits (codes 99285, 99284, 99283) and the precomputed top-3 codes account for 37.0% of its total Medicaid revenue. This concentration implies that emergency care and high-acuity ED throughput are primary revenue engines for the hospital.

Emergency department services show extreme volume: 99285 generated $34.6M (72.4K claims), 99284 generated $26.2M (90K claims), and 99283 generated $24.5M (81.5K claims). All three rank in the mid-to-upper percentiles statewide (99285 at the 97th, 99284 at the 96th, 99283 at the 95th), underlining that Cooper is a major regional provider for acute ED care and high-acuity emergency visits.

Service-line mix beyond the ED signals a broad acute-care platform with specialty programs: high-volume oncology/immunotherapy codes appear (J9271 $17.8M, rank #1; 96413 $6.9M, rank #2; J2505 $5.3M, rank #1), complex radiation (77386 $2.9M, rank #1), and significant endoscopic procedures (43239 $16.4M, rank #1; 45380 $5.1M, rank #1). Together these patterns indicate an integrated inpatient and outpatient specialty footprint that includes oncology, gastroenterology, and procedural services.

Multiple codes are flagged as statistical outliers or notably above typical state volume, reinforcing a dominant statewide position in selected services: J9271, 43239, 96413, 95810, 64483, 45380, 45378, 87635, 64493 and OP710 are described as "extreme outlier" or at the 100th percentile, while OP250 and G0378 are "notably above typical state volume" (OP250 also an extreme outlier by claims count). These labels suggest Cooper operates centers of volume for several specialized interventions and ambulatory encounters.

Operational and throughput implications are evident from observation and transport codes: G0378 (hospital observation service) accounts for $15.6M with 40.4K claims and ranks #2 statewide at the 99th percentile, and ambulance BLS A0429 shows $8.9M with 45.7K claims at the 97th percentile. High observation-hour billing plus heavy ambulance volumes point to sustained ED-to-observation flow and reliance on emergency transport systems.

Diagnostic and ambulatory capacity is substantial: high-volume diagnostic imaging and sleep services include 70553 MRI brain ($3.4M, rank #3) and 95810 polysomnography ($6.6M, rank #1), while screening mammography 77067 appears at $2.3M with large claim counts and a 98th-percentile rank. These entries indicate significant outpatient diagnostic throughput that complements the hospital's procedural and therapeutic services.

Payer-mix and competitive risk: because Cooper shows $0 Medicare revenue on file versus $354M Medicaid revenue, the hospital lacks Medicare diversification in this dataset and is heavily exposed to state Medicaid policy, reimbursement levels, and managed-Medicaid dynamics. Its statewide ranks (many at or near #1 and in the 99th–100th percentiles for high-revenue codes) mark it as a dominant Medicaid provider for multiple service lines, meaning strategic changes in Medicaid contracting or utilization could materially affect its revenue profile.

Medicaid: Complete Services Breakdown

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

801 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	72,390	$480	$34.6M
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.	89,970	$290	$26.2M
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.	81,460	$300	$24.5M
J9271	Injection, pembrolizumab, 1 mg	3,210	$5,560	$17.8M
OP250	N/A	316,510	$50	$16.5M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	13,860	$1,180	$16.4M
G0378	Hospital observation service, per hour	40,360	$390	$15.6M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	45,720	$190	$8.9M
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…	43,080	$180	$7.8M
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…	26,500	$260	$6.9M

Showing 1–10 of 801

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

The Cooper Health System — 22 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

801 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	2	80	6,290	$690	$6.6M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	4	10	680	$1,920	$5.1M
J9271	Injection, pembrolizumab, 1 mg	1	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…	47	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.	13	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.	14	320	580	$230	$4M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	10	30	9,660	$310	$3.4M
J0741	Injection, cabotegravir and rilpivirine, 2mg/3mg	3	10	230	$4,480	$2.9M
J2350	Injection, ocrelizumab, 1 mg	5	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.	10	280	920	$200	$2.6M

Showing 1–10 of 801

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Cooper Health System, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brian Winters	NJ	Orthopaedic Surgery Physician	$88.9K	$0
Robin Wilson-smith	NJ	Gynecologic Oncology Physician	$69.8K	$0
David Warshal	NJ	Gynecologic Oncology Physician	$55.8K	$0
Steven Mcclane	CT	Colon & Rectal Surgery Physician	$32.6K	$0
Robert Siefring	NJ	Obstetrics & Gynecology Physician	$13.5K	$0

Nearby Providers

Other providers in the same ZIP code as The Cooper Health System, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Virtua Our Lady Of Lourdes Hospital Inc	NJ	General Acute Care Hospital	$0	$98.3M
Cmc Department Of Medicine Group PA	NJ	Specialist	$0	$77.4M
Cooper Univeristy Emergency Physicians, PC	NJ	Emergency Medicine Physician	$0	$55.5M
Cooper Surgical Associates, PA	NJ	Surgery Physician	$0	$34.7M
Cooper Physician Offices, PA	NJ	Internal Medicine Physician	$0	$33.7M
Cooper Pediatrics	NJ	Pediatrics Physician	$0	$31.9M
Cooper University Radiology, PC	NJ	Diagnostic Radiology Physician	$0	$22.9M
South Jersey Behavioral Health Resources, Inc.	NJ	Mental Illness Community Based Residential Treatment Facility	$0	$21.8M
Cooper Pediatric Specialists, PC	NJ	Pediatrics Physician	$0	$19.6M
Camcare Health Corporation	NJ	Federally Qualified Health Center (FQHC)	$0	$15.9M

The Cooper Health System — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References