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.

Prime Healthcare Services - St. Mary's Passaic LLC (NPI 1770901761)

Field	Value
Entity Type	Organization
Organization	Prime Healthcare Services - St. Mary's Passaic LLC
Address	350 Boulevard
City	Passaic
State	NJ
ZIP	07055
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 7, 2014

Payer Source	Total Paid
Medicaid	$56.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

295 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	23,860	$280	$6.7M
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	$240	$6.1M
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.	16,840	$310	$5.2M
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…	21,310	$160	$3.3M
OP272	N/A	20,440	$140	$2.9M
OP710	N/A	10,510	$170	$1.8M
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.	2,930	$540	$1.6M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	3,060	$480	$1.5M
G0378	Hospital observation service, per hour	7,260	$200	$1.5M
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.	3,130	$420	$1.3M

Showing 1–10 of 295

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

Prime Healthcare Services - St. Mary's Passaic LLC — 1 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

295 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	32	80	6,290	$690	$6.6M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	157	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…	65	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.	61	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.	70	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.	57	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.	77	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.	93	140	1,410	$180	$1.3M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	88	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.	86	120	940	$20	$957.4K

Showing 1–10 of 295

Related Providers

Other providers that share a Tax Identification Number (TIN) with Prime Healthcare Services - St. Mary's Passaic LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dennis Kwon	NJ	Vascular & Interventional Radiology Physician	$2.7M	$0
John Rundback	NJ	Vascular & Interventional Radiology Physician	$339.1K	$0
Kevin Herman	NJ	Vascular & Interventional Radiology Physician	$225.2K	$0
Christopher Shackles	NY	Vascular & Interventional Radiology Physician	$140.5K	$0
Brijal Desai	RI	Radiation Oncology Physician	$106K	$0
Edel Mendoza	DE	Vascular & Interventional Radiology Physician	$105.1K	$0
Steven Stein	NJ	Anesthesiology Physician	$94K	$0
Amish Patel	NJ	Diagnostic Radiology Physician	$56.6K	$0
Susan Garber	NJ	Nurse Practitioner	$12.9K	$0

Nearby Providers

Other providers in the same ZIP code as Prime Healthcare Services - St. Mary's Passaic LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Accredited Health Services	NJ	Home Health Agency	$0	$87.7M
Passaic Board Of Education	NJ	Local Education Agency (LEA)	$0	$32.7M
Passaic Pediatrics Ii PA	NJ	Pediatrics Physician	$0	$19.9M
Passaic Pediatrics PA	NJ	Pediatrics Physician	$0	$17.6M
Mer Associates LLC	NJ	Adult Day Care Clinic/Center	$0	$15.7M
2nd Home Passaic Operations, LLC	NJ	Adult Day Care Clinic/Center	$0	$14.5M
Smile Central Passaic P.C.	NJ	General Practice Dentistry	$0	$10.6M
Shah Anuj Md PC	NJ	Interventional Cardiology Physician	$0	$8.8M
Kindcare Pediatric Center LLC	NJ	Pediatrics Physician	$0	$7.6M
Prime Healthcare Services - St. Mary's Passaic, LLC	NJ	Mental Illness Community Based Residential Treatment Facility	$0	$7.3M

Prime Healthcare Services - St. Mary's Passaic LLC — Billing Profile & Reimbursement Data

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Prime Healthcare Services - St. Mary's Passaic 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