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.

Raritan Bay Medical Center (NPI 1770569832)

Field	Value
Entity Type	Organization
Organization	Raritan Bay Medical Center
Address	530 New Brunswick Ave
City	Perth Amboy
State	NJ
ZIP	08861
Taxonomy	General Acute Care Hospital
NPI Enumerated	December 21, 2005

Payer Source	Total Paid
Medicaid	$8.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

217 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.	5,380	$370	$2M
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.	5,250	$290	$1.5M
G0378	Hospital observation service, per hour	1,580	$680	$1.1M
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.	1,320	$350	$465.3K
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.	1,410	$200	$286K
S9480	Intensive outpatient psychiatric services, per diem	330	$800	$260.3K
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…	2,500	$80	$205K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	360	$530	$192.8K
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.	120	$1,100	$128.9K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	120	$1,070	$128.9K

Showing 1–10 of 217

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

Raritan Bay Medical Center — 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

217 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	64	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.	126	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.	125	320	580	$230	$4M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	26	30	9,660	$310	$3.4M
S9480	Intensive outpatient psychiatric services, per diem	26	30	3,840	$770	$3.3M
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.	137	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.	116	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.	71	140	1,410	$180	$1.3M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	104	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.	101	120	940	$20	$957.4K

Showing 1–10 of 217

Related Providers

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

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	$29.3M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$26.4M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$18.7M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Caliberhealth Plus	NJ	Home Health Agency	$0	$20.5M
2nd Home Perth Amboy Operations, LLC	NJ	Adult Day Care Clinic/Center	$0	$16.7M
Perth Amboy Public Schools	NJ	Local Education Agency (LEA)	$0	$16.5M
Graceland Adult Medical Day Care,inc	NJ	Adult Day Care Clinic/Center	$0	$16.1M
Bayada Home Health Care, Inc.	NJ	Home Health Agency	$0	$11.7M
Central Jersey Medical Center, Inc.	NJ	Federally Qualified Health Center (FQHC)	$0	$11.4M
County Of Middlesex	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.5M
The Amboys Pediatrics PA	NJ	Legal Medicine	$0	$9.2M
Accredited Health Services	NJ	Home Health Agency	$0	$7.9M
Kenneth Darvin	NJ	Ophthalmology Physician	$1.2M	$0

Raritan Bay Medical Center — Billing Profile & Reimbursement Data

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Raritan Bay Medical Center — 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