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.

Rwjbh Observation Associates LLC (NPI 1760095806)

Field	Value
Entity Type	Organization
Organization	Rwjbh Observation Associates LLC
Address	94 Old Short Hills Rd
City	Livingston
State	NJ
ZIP	07039
Taxonomy	Emergency Medicine Physician
NPI Enumerated	August 28, 2020

Payer Source	Total Paid
Medicaid	$15.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

138 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	10,710	$260	$2.8M
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	11,320	$240	$2.7M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	6,340	$240	$1.5M
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	2,660	$500	$1.3M
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	3,530	$260	$903.4K
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.	6,210	$100	$645.7K
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.	9,540	$70	$638.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	3,410	$150	$500.8K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	3,720	$90	$334.7K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	35,690	$10	$321.2K

Showing 1–10 of 138

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

Rwjbh Observation Associates LLC — 7 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

138 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	273	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.	274	280	920	$200	$2.6M
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	20	30	160	$330	$634.2K
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.	40	170	2,330	$110	$578.8K
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…	284	330	650	$200	$465.1K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	39	90	190	$430	$429.3K
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.	38	180	3,560	$50	$371.9K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	61	90	980	$230	$347.2K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	29	40	190	$710	$324K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	31	40	210	$760	$307.1K

Showing 1–10 of 138

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rwjbh Observation Associates LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Atlanticare Physician Group PA	NJ	Clinic/Center	$0	$27.1M
Imaging Subspecialists Of North Jersey, LLC	NJ	Diagnostic Radiology Physician	$0	$7.5M
Dennis Kwon	NJ	Vascular & Interventional Radiology Physician	$2.7M	$0
Lev Pukin	NY	Vascular & Interventional Radiology Physician	$2.5M	$11.3K
Jasminka Balderacchi	NY	Anatomic Pathology & Clinical Pathology Physician	$1.9M	$0
Karabi Sinha	NJ	Anatomic Pathology & Clinical Pathology Physician	$1.9M	$0
Amjad Safvi	IL	Vascular & Interventional Radiology Physician	$568.9K	$765.4K
Peter Park	NJ	Vascular & Interventional Radiology Physician	$1.1M	$0
Henry Bell	MD	Anatomic Pathology & Clinical Pathology Physician	$656.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Universal Rehabilitation And Fitness, Inc.	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$191M
The Arc Of Essex County, Inc	NJ	In Home Supportive Care Agency	$0	$158.9M
Cooperman Barnabas Medical Center Inc	NJ	General Acute Care Hospital	$0	$136.8M
Pm Pediatrics Of Livingston, PLLC	NJ	Urgent Care Clinic/Center	$0	$40.5M
Jewish Service For The Developmentally Disabled Of Metrowest, Inc.	NJ	Developmentally Disabled Services Day Training Agency	$0	$40.2M
Tyce LLC	NJ	Home Health Agency	$0	$19.3M
The Children's Institute	NJ	Developmentally Disabled Services Day Training Agency	$0	$17.3M
Atlantic Ambulance Corp.	NJ	Ambulance	$8.8M	$6.3M
Vitas Healthcare Corporation Atlantic	NJ	Community Based Hospice Care Agency	$0	$11.1M
Saint Barnabas Outpatient Centers	NJ	Radiology Clinic/Center	$3.1M	$5.8M

Rwjbh Observation Associates LLC — Billing Profile & Reimbursement Data

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Rwjbh Observation Associates 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

Related Providers

Nearby Providers

Frequently Asked Questions

References