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 1790297547)

Field	Value
Entity Type	Organization
Organization	Hmh Hospitals Corporation
Address	1945 Route 33
City	Neptune
State	NJ
ZIP	07753
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 2, 2017

Payer Source	Total Paid
Medicaid	$128.2M
Medicare	$0

Key Findings

HMH HOSPITALS CORPORATION reports no Medicare billing on file and $128.2M in lifetime Medicaid revenue, making its active revenue footprint effectively single‑payer Medicaid based on the available claims data. The absence of Medicare billing limits cross‑payer benchmarking and means statewide Medicaid dynamics will dominate assessments of this provider's market role.

Revenue is highly concentrated in a small set of observation and emergency care codes: G0378 ($16.7M, 17.4%), 99284 ($16.6M, 17.2%), and 99283 ($15.7M, 16.3%) together account for 50.9% of the provider's total Medicaid revenue. This precomputed top‑3 share indicates the hospital relies heavily on a few high‑revenue code lines rather than a broadly diversified Medicaid revenue mix.

The code mix and volumes point to a high‑throughput emergency department and inpatient observation operation: 99283 has 52.2K claims and 99284 has 46.1K claims, while G0378 shows 15.2K claims. Coupled with the large revenue shares above, these counts suggest the facility operates significant ED and observation capacity that drives the bulk of Medicaid payments.

Beyond emergency/observation services, the provider shows meaningful activity in ancillary and specialty outpatient lines: chemotherapy infusion 96413 generates $4.1M, therapeutic exercise 97110 generates $3.4M with 47.8K claims and ranks in the 97th percentile, and S9480 intensive outpatient psychiatric services yields $4.1M. Together these codes indicate the hospital maintains oncology, rehabilitation, and behavioral health services that supplement its ED/observation core.

State competitive positioning is mixed but strong in several Medicaid areas: 99284 ranks #35 of 319 in‑state (89th percentile) and 99283 ranks #33 of 262 (88th percentile), indicating above‑typical state ED volume. The provider is a notable state leader for dental rehabilitation with monitored anesthesia (G0330: $1.1M; ranks #1 of 6, 100th percentile) and shows "notably above typical state volume" for 99282 and 97110, reflecting localized dominance in select service lines.

A number of relatively high per‑claim payments appear in the portfolio and contribute materially despite smaller claim counts — for example, G0330 averages $2169 paid/claim and 69436 averages $1227 paid/claim, while 41899 averages $882 paid/claim. These higher unit payments, combined with niche ranking (G0330 at the 100th percentile), suggest that certain procedural or facility‑intensive episodes are important revenue contributors even when claim volumes are lower.

The provider also maintains broad outpatient diagnostic and therapy throughput that supports acute care activity: 93005 has 34.4K claims for $860K in revenue and 97140 has 23.7K claims for $1.3M in revenue. These volumes and revenues indicate an operational footprint that includes high‑volume EKG and manual therapy/physical therapy services feeding both ED and recovery pathways.

HMH HOSPITALS CORPORATION's NPI was enumerated on 2017-11-02 (~9 years ago), establishing nearly a decade of recorded Medicaid activity; however, the lack of Medicare claims means national Medicare peer comparisons are not possible from the available data. Analysts should therefore interpret competitive and utilization conclusions as state‑Medicaid centric unless external Medicare data become available.

Medicaid: Complete Services Breakdown

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

519 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0378	Hospital observation service, per hour	15,230	$1,100	$16.7M
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.	46,120	$360	$16.6M
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.	52,150	$300	$15.7M
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.	23,480	$190	$4.5M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	4,820	$850	$4.1M
S9480	Intensive outpatient psychiatric services, per diem	4,980	$820	$4.1M
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.	16,260	$240	$3.9M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	3,980	$880	$3.5M
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…	47,810	$70	$3.4M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	10,380	$290	$3M

Showing 1–10 of 519

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 — 2 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

519 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	17	80	6,290	$690	$6.6M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	9	10	680	$1,920	$5.1M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	113	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…	58	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.	33	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.	35	320	580	$230	$4M
S9480	Intensive outpatient psychiatric services, per diem	9	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.	61	280	920	$200	$2.6M
H0046	Mental health services, not otherwise specified	10	20	3,460	$580	$2.4M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	4	30	860	$1,530	$2.1M

Showing 1–10 of 519

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hmh Hospitals Corporation, 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	$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
Meridian Hospitals Corporation	NJ	General Acute Care Hospital	$0	$11.8M

Nearby Providers

Other providers in the same ZIP code as Hmh Hospitals Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Center Programs, LLC	NJ	Developmentally Disabled Services Day Training Agency	$0	$44.6M
Nj Certified Dermatology PC	NJ	Dermatology Physician	$0	$14.9M
Coastal Ear Nose And Throat, LLC	NJ	Otolaryngology Physician	$0	$13.3M
Preferred Home Healthcare & Nursing Services, Inc.	NJ	Home Health Agency	$0	$13M
Jsas Healthcare, Inc.	NJ	Methadone Clinic	$480K	$12.3M
Neptune Adult Day Health Center, Inc.	NJ	Adult Day Care Clinic/Center	$0	$12.5M
Morning Glory Behavioral Health Partial Care Program LLC	NJ	Adult Mental Health Clinic/Center	$0	$10M
Alternative Counseling Method LLC	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.9M
Aba Solutions LLC	NJ	Behavior Analyst	$0	$8.8M
Coastal Surgery Center, LLC	NJ	Ambulatory Surgical Clinic/Center	$75.5K	$3.1M

Hmh Hospitals Corporation — 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