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.

Ahs Hospital Corp. (NPI 1740254143)

Field	Value
Entity Type	Organization
Organization	Ahs Hospital Corp.
Address	99 Beauvoir Ave
City	Summit
State	NJ
ZIP	07901
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 14, 2006

Payer Source	Total Paid
Medicaid	$125.2M
Medicare	$0

Key Findings

AHS HOSPITAL CORP. is effectively a Medicaid-centric provider: there is no Medicare revenue on file and total Medicaid revenue is $125.2M, indicating the provider’s operations and reimbursement exposure are overwhelmingly tied to Medicaid payers rather than Medicare. This payer concentration should frame any analysis of utilization patterns and contracting leverage.

Revenue is highly concentrated in a small set of emergency department codes: the top three Medicaid codes (99283, 99284, 99285) account for 46.1% of the provider’s Medicaid revenue. Specifically, 99283 generated $19.1M (22.4%), 99284 generated $13M (15.2%), and 99285 generated $7.2M (8.4%), signaling that nearly half of Medicaid dollars flow from ED evaluation-and-management activity.

The code mix points to a hospital with a high-volume emergency and acute care footprint supported by observation, imaging, procedural, and infusion services. High counts for ED E/M codes (99282–99285), observation hours (G0378), advanced imaging (74177, 70553, 70450), and diagnostic echocardiography (93306) indicate continuous ED throughput feeding inpatient/observation and diagnostic workflows. Ancillary lines such as infusion/chemotherapy (96365, 96413, J9271, J1439) and physical/rehab codes (97110, ) show complementary outpatient and inpatient procedural services.

Within the state competitive landscape AHS shows above-typical emergency volume: 99283 ranks #15 of 262 providers (95th percentile; notably above typical state volume for this code), 99284 ranks #34 of 319 (90th percentile), and 99285 ranks #45 of 282 (84th percentile). These rank positions indicate the hospital is a major ED player statewide, especially for lower-acuity ED visits represented by 99283, but somewhat less dominant for the highest-acuity ED encounters.

The provider exhibits several distinct service-line strengths outside ED care that are statistical standouts versus in-state peers. Debridement 11042 is ranked #3 of 103 providers (98th percentile; notably above typical state volume for this code), physical therapy 97110 is an "extreme outlier" at the 98th percentile with $2M revenue, and iron infusion J1439 is ranked #1 of 22 providers (100th percentile; notably above typical state volume for this code), together indicating strong wound-care, rehab, and infusion programs relative to other New Jersey hospitals.

Some high-cost oncology and specialty items appear but without leading market share: pembrolizumab J9271 generated $2.2M but ranks #7 of 11 providers in-state (40th percentile), so while the drug contributes material Medicaid dollars due to its unit price, AHS is not a statewide leader in that specific immunotherapy compared with the small set of peers that bill it. This suggests oncology infusion capability exists but is not the hospital’s dominant in-state specialty.

Diagnostic and proprietary testing are notable contributors to Medicaid revenue and suggest robust lab/imaging throughput: 0202U (BioFire RP2.1) produced $2M and ranks #5 of 47 providers (91st percentile; notably above typical state volume for this code), and transthoracic echo 93306 produced $4M and ranks in the 93rd percentile. These positions imply strong acute diagnostic capacity that supports the ED and observation activity.

AHS has long tenure on file, with its NPI enumerated on 2006-02-14 (~20 years ago), signaling organizational stability and an established presence in the market. Combined with the Medicaid revenue concentration and the rank-based outlier positions in ED, debridement, rehab, and iron infusion, this longevity supports a view of AHS as a stable, Medicaid-focused acute-care hospital with specific statewide strengths that should be considered in any network contracting or utilization-management strategy.

Medicaid: Complete Services Breakdown

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

482 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.	74,760	$260	$19.1M
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.	48,540	$270	$13M
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.	22,940	$310	$7.2M
G0378	Hospital observation service, per hour	11,290	$370	$4.2M
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…	8,170	$500	$4M
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	6,990	$520	$3.7M
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.	18,900	$180	$3.3M
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.	11,100	$250	$2.8M
OP710	N/A	21,620	$120	$2.5M
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	26,750	$90	$2.4M

Showing 1–10 of 482

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

Ahs Hospital Corp. — 6 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

482 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	22	80	6,290	$690	$6.6M
J9271	Injection, pembrolizumab, 1 mg	7	10	340	$6,690	$4.9M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	166	170	21,080	$100	$4.2M
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…	43	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.	15	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.	34	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.	45	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.	63	150	3,680	$30	$1.5M
J2505	Injection, pegfilgrastim, 6 mg	5	10	170	$3,180	$1.4M
86480	The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies.	36	40	810	$30	$1.4M

Showing 1–10 of 482

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ahs Hospital Corp., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ahs Hospital Corp.	NJ	General Acute Care Hospital	$0	$155.9M
Ahs Hospital Corp.	NJ	General Acute Care Hospital	$0	$36.2M
Ahs Hospital Corp	NJ	General Acute Care Hospital	$0	$33.6M
Ahs Hospital Corp	NJ	General Acute Care Hospital	$0	$16.3M
Joshua Braun	NJ	Psychiatry Physician	$73K	$0
Peter Bolo	NJ	Psychiatry Physician	$36K	$0
Jonathan Torres	NJ	Family Medicine Physician	$16.7K	$0

Nearby Providers

Other providers in the same ZIP code as Ahs Hospital Corp., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Physician Associates Of North Jersey P C	NJ	Emergency Medicine Physician	$0	$16.5M
Mark Krell	NJ	Cardiovascular Disease Physician	$448.6K	$0
John Williams	NJ	Dermatology Physician	$315K	$0
John Werring	NJ	Diagnostic Radiology Physician	$209.8K	$0
Miles Levin	NJ	Anatomic Pathology & Clinical Pathology Physician	$207.8K	$0
Prabha Pai	NJ	Anatomic Pathology & Clinical Pathology Physician	$199.5K	$0
Christine Stahl	NJ	Neurology Physician	$190.4K	$0
Hamid Bagce	NJ	Diagnostic Radiology Physician	$164.2K	$730
Edward Dimitry	NJ	Pulmonary Disease Physician	$160.5K	$0
Lisa Toffey	NJ	Internal Medicine Physician	$149K	$0

Ahs Hospital Corp. — 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