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.

Trinitas Regional Medical Center (NPI 1770583999)

Key Findings

Field	Value
Entity Type	Organization
Organization	Trinitas Regional Medical Center
Address	225 Williamson St
City	Elizabeth
State	NJ
ZIP	07202
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 29, 2005

Payer Source	Total Paid
Medicaid	$142.3M
Medicare	$0

TRINITAS REGIONAL MEDICAL CENTER is effectively a Medicaid-focused provider: it has no Medicare billing on file and reports $142.3M in lifetime Medicaid revenue, so analysts should treat its public-billing footprint as single‑payer for benchmarking and network analysis. This concentration means Medicaid reimbursement patterns will dominate revenue trends and utilization signals.

Revenue concentration is high across a small set of services: the precomputed top three Medicaid codes (90853, 99283, 99284) collectively account for 52.2% of the provider's total Medicaid revenue. Those three codes alone drive the majority of reported Medicaid dollars, indicating a narrow set of high-impact service lines to prioritize in any financial or utilization review.

The code mix indicates two primary operational footprints: high-volume emergency care and substantial behavioral health/group psychotherapy capacity. 90853 (group psychotherapy) accounts for $22.5M (21.6% of Medicaid revenue), while ED evaluation-and-management codes 99283 ($17.3M), 99284 ($14.5M) and 99285 ($8.6M) together represent a large ED throughput and reliance on acute-care E/M services. Observation (G0378) and high counts of low- and mid-level E/M codes (99213, 99211) further support a combined acute-and-ambulatory service model.

TRINITAS is a statewide leader for several behavioral-health and procedural codes: 90853 ranks #2 of 332 providers in-state and is labeled an extreme outlier, and 90837 and 90832 also rank in the 99th and 96th percentiles respectively, indicating unusually large psychotherapy volumes compared with peers. These rankings imply the hospital is a major behavioral-health provider in New Jersey and likely a referral center for group and individual psychotherapy services within the Medicaid population.

Emergency-department volumes are elevated but not uniquely dominant statewide: 99283 ranks #25 of 262 (91th percentile; described as typical, unremarkable for state volume), 99284 ranks #37 of 319 (89th percentile; typical), and 99285 ranks #41 of 282 (86th percentile; typical). In practice this means ED care generates substantial revenue ($17.3M, $14.5M, $8.6M respectively) and contributes materially to Medicaid revenue without making TRINITAS the single dominant ED provider in the state.

Several procedural and diagnostic services show extreme or notable concentration relative to peers, suggesting strong specialty capacity: 43239 ($2.8M) ranks #6 of 284 (98th percentile; extreme outlier), 45380 ($1.8M) ranks #3 of 169 (99th percentile; extreme outlier), and 45378 ($1.0M) ranks #6 of 109 (95th percentile; notably above typical). High volumes in endoscopy and related surgical pathology (88305) indicate a busy GI procedural footprint that complements the ED and inpatient flows.

Outpatient and ancillary throughput is very large in select encounter-level codes: 99213 ($4.6M) ranks #48 of 4454 (99th percentile; extreme outlier) and 99211 ($1.1M) ranks #6 of 657 (99th percentile; extreme outlier), while OP251 shows 123.8K claims for $1.2M and ranks #1 of 13 (100th percentile; extreme outlier) despite no description available. These patterns point to heavy ambulatory visit volumes and high-frequency outpatient billing that materially support total Medicaid revenue.

Institutional tenure is long enough to support stable market presence: the NPI was enumerated on 2005-07-29 (~21 years ago). Given the combination of high Medicaid revenue ($142.3M), concentrated top-code dependence (52.2% from the top three codes), and multiple statewide extreme-outlier rankings, analysts should prioritize Medicaid-focused utilization, behavioral-health capacity, ED throughput, and GI procedural volumes when benchmarking, contracting, or forecasting for TRINITAS.

Medicaid: Complete Services Breakdown

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

472 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	145,900	$150	$22.5M
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.	63,100	$270	$17.3M
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.	44,180	$330	$14.5M
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.	26,330	$330	$8.6M
G0378	Hospital observation service, per hour	18,880	$340	$6.4M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	74,860	$60	$4.6M
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.	25,420	$170	$4.3M
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.	6,240	$450	$2.8M
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.	8,960	$250	$2.3M
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	4,450	$410	$1.8M

Showing 1–10 of 472

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

Trinitas Regional Medical Center — 10 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

472 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	13	80	6,290	$690	$6.6M
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…	61	130	3,180	$60	$4.2M
81420	The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,…	6	10	5,420	$280	$4.1M
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.	25	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.	37	320	580	$230	$4M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	19	30	9,660	$310	$3.4M
S9480	Intensive outpatient psychiatric services, per diem	20	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.	41	280	920	$200	$2.6M
T2034	Crisis intervention, waiver; per diem	17	20	2,220	$860	$2.3M
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.	137	150	3,680	$30	$1.5M

Showing 1–10 of 472

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trinitas Regional Medical Center	NJ	General Acute Care Hospital	$0	$14.3M
Trinitas Regional Medical Center	NJ	General Acute Care Hospital	$0	$12M
Robert Czyzewski	NJ	Nephrology Physician	$768K	$0
Manouchehr Shahab	NJ	Family Medicine Physician	$466.1K	$0
Preet Randhawa	NJ	Cardiovascular Disease Physician	$351.4K	$0
Aravinda Reddy	NJ	Nephrology Physician	$268.5K	$110
Dhanasekaran Ramasamy	NJ	Gastroenterology Physician	$193.4K	$0
Stephen Grelecki	NJ	Psychiatry Physician	$104.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Access Unlimited	NJ	Supports Brokerage Agency	$0	$355.6M
Confident Care Corp	NJ	Home Health Agency	$0	$46.3M
Barnabas Health Medical Group PC	NJ	Specialist	$0	$40M
Bridgeway Rehabilitation Services	NJ	Case Management Agency	$0	$22.6M
Vipin Garg	NJ	Pulmonary Disease Physician	$1M	$0
Anshu Garg	NJ	Cardiovascular Disease Physician	$759.9K	$0
Matthew Cholankeril	NJ	Cardiovascular Disease Physician	$525.3K	$0
Atlas Diagnostics Inc	NJ	Clinical Medical Laboratory	$420K	$11.3K
Mathew Cholankeril	NJ	Cardiovascular Disease Physician	$329.8K	$0
Bakr Asif	NJ	Podiatric Clinic/Center	$267K	$0

Trinitas Regional Medical Center — 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