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.

Hunterdon Orthopedic Institute PA (NPI 1619952595)

Field	Value
Entity Type	Organization
Organization	Hunterdon Orthopedic Institute PA
Address	8100 Wescott Drive
City	Flemington
State	NJ
ZIP	08822
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	December 13, 2005

Payer Source	Total Paid
Medicaid	$9.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

59 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J1568	Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg	390	$5,940	$2.3M
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…	18,230	$100	$1.8M
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…	25,630	$70	$1.7M
99203	The provider sees a new 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 provider…	13,360	$110	$1.4M
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	11,320	$90	$1M
73564	In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.	4,590	$40	$165.1K
J0585	Injection, onabotulinumtoxina, 1 unit	130	$1,020	$134.6K
L0650	Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid…	220	$570	$125.7K
99204	The provider sees a new 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 provider…	680	$140	$96.7K
J7323	Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	320	$260	$82.9K

Showing 1–10 of 59

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

Hunterdon Orthopedic Institute PA — 7 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

59 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1568	Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg	2	10	900	$2,380	$2.1M
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…	81	90	7,530	$50	$576.6K
L3000	Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each	51	110	340	$200	$461.3K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	89	130	2,540	$70	$320.1K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	18	50	160	$510	$308.4K
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…	182	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…	114	3,790	580	$60	$204K
J0585	Injection, onabotulinumtoxina, 1 unit	12	20	140	$550	$198.7K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	82	110	120	$240	$131.2K
L1833	Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf	20	20	170	$210	$109.6K

Showing 1–10 of 59

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hunterdon Orthopedic Institute PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Manish Viradia	NJ	Neurology Physician	$3.7M	$0
Philip Glassner	NJ	Orthopaedic Surgery Physician	$338.8K	$0
Michael Pollack	NJ	Orthopaedic Surgery Physician	$314.8K	$0
Christopher Caruso	NJ	Orthopaedic Surgery Physician	$233.2K	$0
Thomas St John	NJ	Orthopaedic Surgery of the Spine Physician	$219.8K	$0
Robert More	NJ	Orthopaedic Surgery Physician	$186.6K	$0
Aleya Salam	NJ	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$185.7K	$0
Richard Chang	NJ	Orthopaedic Surgery Physician	$87.4K	$0
Patrick Wang	PA	Orthopaedic Surgery Physician	$77.9K	$0
Jerome Decker	NJ	Orthopaedic Hand Surgery Physician	$73K	$0

Nearby Providers

Other providers in the same ZIP code as Hunterdon Orthopedic Institute PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hunterdon Medical Center	NJ	General Acute Care Hospital	$0	$40.3M
Coaching For Independence	NJ	Community/Behavioral Health Agency	$0	$11.7M
Catholic Charities, Diocese Of Metuchen	NJ	Community/Behavioral Health Agency	$0	$10.5M
Easter Seals New Jersey	NJ	Mental Illness Community Based Residential Treatment Facility	$0	$8.8M
High Point Partial Care, LLC	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.8M
Myron Bednar	NJ	Hematology & Oncology Physician	$2.5M	$0
Hunterdon Endosurgery Center	NJ	Ambulatory Surgical Clinic/Center	$614.3K	$829.2K
Hunterdon Center For Surgery, LLC	NJ	Ambulatory Surgical Clinic/Center	$853.9K	$338K
Megha Shah	NJ	Hematology & Oncology Physician	$964.3K	$0
Andrey Espinoza	NJ	Cardiovascular Disease Physician	$888.2K	$0

Hunterdon Orthopedic Institute PA — Billing Profile & Reimbursement Data

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Hunterdon Orthopedic Institute PA — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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Frequently Asked Questions

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