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.

Shore Memorial Hospital (NPI 1629070149)

Field	Value
Entity Type	Organization
Organization	Shore Memorial Hospital
Address	1 E New York Ave
City	Somers Point
State	NJ
ZIP	08244
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 15, 2005

Payer Source	Total Paid
Medicaid	$52.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

271 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.	65,050	$360	$23.2M
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.	15,600	$300	$4.6M
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.	11,940	$250	$3M
G0378	Hospital observation service, per hour	6,630	$390	$2.6M
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	4,260	$550	$2.3M
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.	6,320	$170	$1.1M
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	1,360	$770	$1M
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.	4,230	$230	$968.9K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	4,640	$170	$770.4K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	7,170	$80	$594.9K

Showing 1–10 of 271

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

Shore Memorial Hospital — 0 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

271 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	36	80	6,290	$690	$6.6M
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…	62	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.	101	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.	23	320	580	$230	$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.	64	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.	61	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.	47	140	1,410	$180	$1.3M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	41	120	900	$20	$971.9K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	39	120	940	$20	$957.4K
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…	37	80	430	$290	$897.3K

Showing 1–10 of 271

Related Providers

Other providers that share a Tax Identification Number (TIN) with Shore Memorial Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hemangini Shah	NJ	Radiation Oncology Physician	$2.4M	$0
Benjamin Negin	NJ	Internal Medicine Physician	$977.6K	$0
Shailja Roy	NJ	Hematology & Oncology Physician	$960.7K	$0
Hemang Dave	NJ	Hematology & Oncology Physician	$903.5K	$0
Kush Sachdeva	NJ	Specialist	$888.6K	$0
Mylene Go	PA	Hematology & Oncology Physician	$792.9K	$0
Omar Al Ustwani	NJ	Internal Medicine Physician	$670.3K	$0
Vasthi Wilson	NJ	Radiation Oncology Physician	$507.6K	$0
Joseph Lattanzi	NJ	Radiation Oncology Physician	$342.2K	$0
John Wilson	NJ	Radiation Oncology Physician	$138.6K	$0

Nearby Providers

Other providers in the same ZIP code as Shore Memorial Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Golden Heart Adult Day Care, Inc	NJ	Adult Day Care Clinic/Center	$0	$9M
Shore Ambulatory Surgical Center, LLC	NJ	Ambulatory Surgical Clinic/Center	$1.2M	$40.3K
Stephen Zabinski	NJ	Adult Reconstructive Orthopaedic Surgery Physician	$1M	$0
Peter Scordo	NJ	Physical Therapist	$849K	$0
Ajay Viswambharan	NJ	Diagnostic Radiology Physician	$462.7K	$0
Christopher Lucasti	NJ	Infectious Disease Physician	$441.3K	$0
James Mesham	NJ	Diagnostic Radiology Physician	$414.6K	$0
Jeffrey Gosin	NJ	Surgery Physician	$369K	$0
Thomas Barrett	NJ	Orthopaedic Surgery Physician	$362.8K	$0
Gene Braga	NJ	Urology Physician	$357.4K	$0

Shore Memorial Hospital — Billing Profile & Reimbursement Data

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Shore Memorial Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References