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.

Princeton Healthcare System, A New Jersey Non-profit Corporation (NPI 1689714255)

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Princeton Healthcare System, A New Jersey Non-profit Corporation
Address	1 Plainsboro Rd
City	Plainsboro
State	NJ
ZIP	08536
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 6, 2007

Payer Source	Total Paid
Medicaid	$33.6M
Medicare	$0

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

214 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.	16,360	$510	$8.3M
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.	16,780	$400	$6.7M
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.	16,630	$240	$4M
G0378	Hospital observation service, per hour	5,140	$570	$2.9M
G0410	Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes	11,530	$200	$2.3M
G0177	Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more)	7,900	$200	$1.6M
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.	2,550	$490	$1.2M
G0176	Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)	2,930	$310	$908.3K
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.	4,150	$130	$522.9K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	16,480	$20	$280.1K

Showing 1–10 of 214

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

Princeton Healthcare System, A New Jersey Non-profit Corporation — 3 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

214 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	45	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…	54	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.	83	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.	92	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.	60	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.	50	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.	87	140	1,410	$180	$1.3M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	79	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.	82	120	940	$20	$957.4K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	31	110	1,810	$50	$930.1K

Showing 1–10 of 214

Other providers that share a Tax Identification Number (TIN) with Princeton Healthcare System, A New Jersey Non-profit Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Princeton Healthcare System, A New Jersey Non-profit Corporation	NJ	Psychiatric Hospital Unit	$0	$34M
Aaron Roth	NY	Surgery Physician	$396.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kenneth Goldman	NJ	Specialist	$2M	$0
Elliot Sambol	NJ	Vascular Surgery Physician	$848.6K	$0
Ahmed Mirza	NJ	Geriatric Medicine (Internal Medicine) Physician	$438.9K	$0
Paul Kostoulakos	NJ	Neurology Physician	$362.1K	$0
Ryan Johnson	NJ	MOHS-Micrographic Surgery Physician	$284.1K	$0
Scott Kay	NJ	Otolaryngology Physician	$265K	$0
Rohan Menon	NJ	Internal Medicine Physician	$226.9K	$0
Aravind Nagavalli	NJ	Internal Medicine Physician	$213.6K	$0
New Jersey Cvs Pharmacy LLC	NJ	Pharmacy	$180.3K	$0
Lawrence Jordan	NJ	Specialist	$88.9K	$0

Princeton Healthcare System, A New Jersey Non-profit Corporation — Billing Profile & Reimbursement Data

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Princeton Healthcare System, A New Jersey Non-profit Corporation — 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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