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.

Njmhmc, LLC (NPI 1710491253)

Field	Value
Entity Type	Organization
Organization	Njmhmc, LLC
Address	55 Meadowlands Pkwy
City	Secaucus
State	NJ
ZIP	07094
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 20, 2017

Payer Source	Total Paid
Medicaid	$22.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

226 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.	22,140	$330	$7.3M
OP710	N/A	9,350	$210	$1.9M
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.	1,470	$780	$1.2M
OP379	N/A	6,570	$150	$965.3K
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.	3,010	$310	$928.5K
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.	2,920	$260	$748.5K
C1776	Joint device (implantable)	450	$1,550	$694.4K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	3,830	$140	$543.4K
G0378	Hospital observation service, per hour	1,090	$480	$521.4K
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.	1,080	$460	$499.1K

Showing 1–10 of 226

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

Njmhmc, LLC — 1 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

226 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	67	80	6,290	$690	$6.6M
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.	69	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.	137	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.	139	280	920	$200	$2.6M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	23	30	860	$1,530	$2.1M
G0483	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…	27	30	2,020	$110	$2M
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.	101	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.	65	140	1,410	$180	$1.3M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	66	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.	64	120	940	$20	$957.4K

Showing 1–10 of 226

Nearby Providers

Other providers in the same ZIP code as Njmhmc, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hudson Partnership Care Management Organization	NJ	Case Management Agency	$0	$52.4M
Atvivo LLC	NJ	Clinical Medical Laboratory	$688.2K	$22M
Integrity, Inc	NJ	Substance Abuse Rehabilitation Facility	$0	$13.3M
Comunidad Unida Para Rehabilitacion De Adictos	NJ	Substance Abuse Rehabilitation Facility	$0	$8.8M
Integrity, Inc	NJ	Substance Abuse Rehabilitation Facility	$0	$8.2M
Ramadevi Enugala	NJ	Internal Medicine Physician	$462K	$0
Yulia Naumova	NJ	Optometrist	$310.3K	$141.5K
Dani Korya	NJ	Neurology Physician	$432.2K	$0
Robert Boyajian	NJ	Internal Medicine Physician	$301.3K	$0
Antwan Ahad	NJ	Neurology Physician	$192.4K	$420

Njmhmc, LLC — Billing Profile & Reimbursement Data

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Njmhmc, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References