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.

Cooper Surgical Associates, PA (NPI 1649217514)

Cooper Surgical Associates, PA is a surgery physician provider located in Camden, New Jersey. This profile covers 0 Medicare and 106 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Cooper Surgical Associates, PA
Address	3 Cooper Plz
City	Camden
State	NJ
ZIP	08103
Taxonomy	Surgery Physician
NPI Enumerated	June 1, 2006

Payer Source	Total Paid
Medicaid	$34.7M
Medicare	$0

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

106 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	102,980	$120	$11.8M
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…	34,130	$160	$5.6M
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…	31,210	$160	$5M
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…	16,150	$250	$4.1M
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…	82,010	$30	$2.5M
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…	17,980	$50	$970.6K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	25,130	$20	$502.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	6,290	$70	$427.5K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	2,520	$170	$418.2K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	3,380	$120	$402.6K

Showing 1–10 of 106

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

Cooper Surgical Associates, PA — 8 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

106 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
31237	In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement.	6	10	80	$350	$403.6K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	13	30	290	$590	$379.3K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	38	40	1,130	$50	$363.2K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	19	30	150	$1,170	$313.7K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	13	50	460	$150	$285.7K
36226	In this procedure, the provider performs imaging supervision and interpretation for angiography performed by inserting a catheter through a distal artery into the thoracic aorta and aortic arch. He…	2	10	20	$2,080	$260.6K
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…	31	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…	55	3,790	580	$60	$204K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	141	230	210	$160	$189K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	90	520	1,020	$40	$177.3K

Showing 1–10 of 106

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cmc Department Of Medicine Group PA	NJ	Specialist	$0	$77.4M
Joseph Shanahan	NC	Rheumatology Physician	$1.9M	$0
Mutahir Abidi	NJ	Rheumatology Physician	$1.6M	$0
Jason Marquart	MD	MOHS-Micrographic Surgery Physician	$1.5M	$0
Wamiq Sultan	PA	Nephrology Physician	$978.6K	$143.8K
Theodore Plush	NJ	Pulmonary Disease Physician	$482.8K	$0
Naomi Lawrence	NJ	Procedural Dermatology Physician	$457.5K	$0
Devinder Singh	NJ	Cardiovascular Disease Physician	$402.2K	$0
John Andriulli	NJ	Cardiovascular Disease Physician	$396.7K	$0
Evan Krisch	NJ	Urology Physician	$306.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Cooper Health System	NJ	General Acute Care Hospital	$0	$354M
Virtua Our Lady Of Lourdes Hospital Inc	NJ	General Acute Care Hospital	$0	$98.3M
Cooper Univeristy Emergency Physicians, PC	NJ	Emergency Medicine Physician	$0	$55.5M
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
Haddon Emergency Physicians LLC	NJ	Emergency Medicine Physician	$0	$11.9M

Cooper Surgical Associates, 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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