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.

Jersey City Medical Center (NPI 1689744856)

Field	Value
Entity Type	Organization
Organization	Jersey City Medical Center
Address	355 Grand Street
City	Jersey City
State	NJ
ZIP	07302
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 8, 2006

Payer Source	Total Paid
Medicaid	$336.3M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the datasets provided: there is no Medicare billing on file and the provider reports $336.3M in lifetime Medicaid revenue. The NPI was enumerated 2006-11-08 (~20 years ago), indicating long tenure as an active inpatient/acute care provider in the market.

Revenue concentration is high in a small set of emergency/observation codes: the top three Medicaid codes — 99283 ($37M, 14.5%), G0378 ($32.1M, 12.5%), and 99284 ($31.9M, 12.5%) — together account for 39.5% of this provider's total Medicaid revenue. This concentration signals that a large share of Medicaid dollars flows through ED evaluation/management and hospital observation services.

The code mix points to a high‑volume emergency and short‑stay observation operation: multiple ED E/M codes (99282–99285) plus G0378 (hospital observation service, per hour) and G0379 (direct admission for observation care) appear near the top of revenue listings. Specific volumes — for example 99283 at 100K claims ($370 avg paid/claim, ranks #10 of 262, 97th percentile) and G0378 at 39.9K claims ($803 avg paid/claim, ranks #3 of 78, 97th percentile) — support an operational profile of heavy ED throughput with substantial observation bed utilization.

Jersey City Medical Center is a major hub for ambulance and transport services within the state Medicaid ecosystem: A0429 (99.1K claims, $29.6M revenue) ranks #2 of 264 and is labeled an extreme outlier, and ground mileage A0425 (120.7K claims, $1.9M revenue) ranks #3 of 426 and is also an extreme outlier. The combination of large ambulance claim volumes and high observation/ED revenue suggests integrated emergency intake and transport activity that drives material Medicaid revenue.

Behavioral health and post‑acute psychiatric services are a meaningful revenue stream: H0035 (partial hospitalization, 77.8K claims, $21M revenue) and S9480 (intensive outpatient psychiatric services, 10.3K claims, $7.8M revenue) are both high on the list, and the antipsychotic injection J2426 (7.5K claims, $5.7M revenue) ranks #1 of 7 providers in‑state (100th percentile; notably above typical state volume). These entries indicate substantial investment in outpatient/partial hospitalization behavioral health programming billed to Medicaid.

The provider also performs a range of inpatient and outpatient diagnostic and procedural services consistent with a full‑service acute care hospital: high‑revenue procedures such as 43239 (EGD with biopsy, $4.5M), 45380 (colonoscopy with biopsy, $3.1M), and imaging codes like 74177 ($2.8M) and 70450 ($1.8M) appear on the top‑25 Medicaid list. Rankings around the 88th–93rd percentiles for many of these codes indicate the provider delivers routine procedural volume at levels comparable to other large in‑state hospitals.

There is clear evidence of high ambulatory and therapy throughput in Medicaid billing: 99211 (35.9K claims, $1.9M revenue) and 97530 (51.8K claims, $1.8M revenue) both rank in the top percentiles (99th and 99th respectively) and are described as extreme outliers or far above typical state volume. This suggests broad outpatient clinic and rehabilitation activity supporting the hospital's continuum of care beyond the ED and inpatient settings.

Competitive standing in the state Medicaid market is strong and specialized: multiple codes are in the 95th–100th percentiles (for example G0378 at 97th, 99283 at 97th, A0429 at 100th, G0379 at 100th), showing the provider is a dominant or major participant in emergency/observation, transport, and selected behavioral health services statewide. Because there is no Medicare billing on file, no national Medicare competitive assessment can be drawn from these datasets; the provider’s influence appears concentrated within Medicaid lines of business.

Medicaid: Complete Services Breakdown

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

582 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	100,030	$370	$37M
G0378	Hospital observation service, per hour	39,940	$800	$32.1M
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.	79,290	$400	$31.9M
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.	56,160	$540	$30M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	99,120	$300	$29.6M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	77,770	$270	$21M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	27,760	$450	$12.4M
S9480	Intensive outpatient psychiatric services, per diem	10,270	$760	$7.8M
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.	28,610	$260	$7.4M
J2426	Injection, paliperidone palmitate extended release (invega sustenna), 1 mg	7,520	$760	$5.7M

Showing 1–10 of 582

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

Jersey City Medical Center — 11 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

582 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	3	80	6,290	$690	$6.6M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	8	10	680	$1,920	$5.1M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	29	170	21,080	$100	$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.	10	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.	17	320	580	$230	$4M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	4	30	9,660	$310	$3.4M
S9480	Intensive outpatient psychiatric services, per diem	3	30	3,840	$770	$3.3M
T1017	Targeted case management, each 15 minutes	45	50	12,510	$150	$3M
J0741	Injection, cabotegravir and rilpivirine, 2mg/3mg	2	10	230	$4,480	$2.9M
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	280	920	$200	$2.6M

Showing 1–10 of 582

Related Providers

Other providers that share a Tax Identification Number (TIN) with Jersey City Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott Walsman	NJ	Ophthalmology Physician	$305.8K	$1.1K
Victoria Munoz	NJ	Family Nurse Practitioner	$144.8K	$0
Abdul Ameen	NJ	Clinical Cardiac Electrophysiology Physician	$102.1K	$0

Nearby Providers

Other providers in the same ZIP code as Jersey City Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	NJ	Home Health Agency	$0	$122.6M
Allied Care Corp	NJ	Home Health Agency	$0	$37.2M
Calvin Strand	NJ	Anatomic Pathology & Clinical Pathology Physician	$559.3K	$1.9K
Patrick Mcgovern	NJ	Vascular Surgery Physician	$267.3K	$0
Eric Reynolds	NJ	Foot & Ankle Surgery Podiatrist	$218.2K	$1.6K
Frank Chen	NJ	Diagnostic Radiology Physician	$182.5K	$0
Frank Liporace	NJ	Orthopaedic Trauma Physician	$169.9K	$0
Ziad Hanhan	NJ	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$108.9K	$0
Eric Ginzburg	NJ	Occupational Therapist	$89K	$0
Alexandra Ward	NJ	Cardiovascular Disease Physician	$74.3K	$0

Jersey City Medical Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References