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 Medical Group, PA (NPI 1649226515)

Field	Value
Entity Type	Organization
Organization	Virtua Medical Group, PA
Address	301 Lippincott Dr Ste 410
City	Marlton
State	NJ
ZIP	08053
Taxonomy	Family Medicine Physician
NPI Enumerated	May 25, 2006

Payer Source	Total Paid
Medicaid	$48M
Medicare	$0

Medicaid: Complete Services Breakdown

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

246 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	237,370	$60	$13.8M
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…	219,230	$60	$12.3M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	190,970	$20	$4.2M
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…	16,850	$110	$1.8M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	48,870	$40	$1.8M
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…	17,070	$80	$1.4M
S9083	Global fee urgent care centers	10,430	$100	$1.1M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	19,770	$50	$1M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	23,090	$40	$877.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	167,740	$10	$838.7K

Showing 1–10 of 246

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 Medical Group, PA — 18 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

246 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2315	Injection, naltrexone, depot form, 1 mg	2	10	320	$1,140	$1.7M
Q9991	Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg	3	10	430	$1,690	$917.9K
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…	63	80	430	$290	$897.3K
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	46	110	3,310	$130	$882K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	295	720	1,690	$80	$629.2K
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.	77	280	360	$560	$567.5K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	56	70	210	$1,050	$539.3K
S9083	Global fee urgent care centers	13	90	780	$90	$481.8K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	5	330	650	$200	$465.1K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	39	50	120	$1,290	$423.6K

Showing 1–10 of 246

Related Providers

Other providers that share a Tax Identification Number (TIN) with Virtua Medical Group, PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Summit Surgical Center LLC	NJ	Ambulatory Surgical Clinic/Center	$484.7K	$3.6M
Steven Bromley	NJ	Neurology Physician	$2.9M	$0
Judith Lightfoot	NJ	Infectious Disease Physician	$647.5K	$0
Megdad Zaatreh	NJ	Neurology Physician	$582.2K	$3.8K
Jason Palermo	NJ	Cardiovascular Disease Physician	$536.8K	$0
Darius Sholevar	NJ	Clinical Cardiac Electrophysiology Physician	$482.5K	$0
Ralph Russo	NJ	Nuclear Cardiology Physician	$458K	$0
Heath Saltzman	NJ	Clinical Cardiac Electrophysiology Physician	$389.9K	$0
Aatish Garg	NJ	Clinical Cardiac Electrophysiology Physician	$381.4K	$0

Nearby Providers

Other providers in the same ZIP code as Virtua Medical Group, PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Devereux Foundation	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$400.8M
Merakey New Jersey	NJ	Community/Behavioral Health Agency	$0	$76M
Advocare, LLC	NJ	Pediatrics Physician	$0	$32.1M
Hba Management, Inc.	NJ	Children's Rehabilitation Hospital	$0	$30.4M
Greater New Jersey Creative Counseling	NJ	Community/Behavioral Health Agency	$0	$25.7M
Prestige Of Marlton Amdc LLC	NJ	Adult Day Care Clinic/Center	$0	$18.4M
Trinity Medical Laboratories	NJ	Clinical Medical Laboratory	$214.5K	$11.8M
Hba Management Inc	NJ	Medically Fragile Infants and Children Day Care	$0	$12M
Union Association Of The Children's Home Of Burlington County, Inc.	NJ	Community/Behavioral Health Agency	$0	$11.9M
Comfort Hands Home Care	NJ	Home Health Agency	$0	$11.9M

Virtua Medical Group, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References