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.

Hmh Hospitals Corporation (NPI 1760994412)

Hmh Hospitals Corporation is a general acute care hospital provider located in Holmdel, New Jersey. This profile covers 0 Medicare and 238 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Hmh Hospitals Corporation
Address	727 N Beers St
City	Holmdel
State	NJ
ZIP	07733
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 2, 2017

Payer Source	Total Paid
Medicaid	$29.3M
Medicare	$0

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

238 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0378	Hospital observation service, per hour	8,790	$760	$6.7M
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.	20,630	$310	$6.4M
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.	19,080	$260	$5M
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.	9,540	$180	$1.7M
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.	6,900	$170	$1.2M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	18,260	$50	$912.8K
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…	1,030	$700	$719K
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.	1,840	$350	$639.2K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	11,250	$50	$517.6K
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.	4,310	$90	$379.3K

Showing 1–10 of 238

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

Hmh Hospitals Corporation — 0 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

238 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	25	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.	77	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.	82	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.	90	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.	95	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.	44	140	1,410	$180	$1.3M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	96	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.	93	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…	75	110	1,810	$50	$930.1K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	82	90	630	$30	$806.2K

Showing 1–10 of 238

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aileen Chen	NJ	Hematology & Oncology Physician	$1.5M	$0
Physicians Of Monmouth LLC	NJ	Ambulatory Surgical Clinic/Center	$697K	$0
Magdy Nasra	NJ	Internal Medicine Physician	$657.6K	$0
Harry Coniaris	NJ	Ophthalmology Physician	$425.1K	$188.3K
Avtar Parhar	NJ	Pulmonary Disease Physician	$505.7K	$0
Pradip Bhattacharjee	NJ	Dermatopathology (Pathology) Physician	$493.7K	$0
Pankaj Doshi	NJ	Infectious Disease Physician	$434.9K	$16.6K
Folarin Tuboku-metzger	NJ	Internal Medicine Physician	$423.1K	$0
Niranjan Shah	NJ	Cardiovascular Disease Physician	$390.5K	$0
Jason Steinfeld	NJ	Ophthalmology Physician	$382.6K	$0

Hmh Hospitals Corporation — Billing Profile & Reimbursement Data

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Hmh Hospitals 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

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$333.3M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$128.2M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$79.2M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$72.1M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$65.4M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$50M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$34.8M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$26.4M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$18.7M
Meridian Hospitals Corporation	NJ	General Acute Care Hospital	$0	$11.8M