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 1831601590)

Hmh Hospitals Corporation is a general acute care hospital provider located in Manahawkin, New Jersey. This profile covers 0 Medicare and 252 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	1140 Route 72 W
City	Manahawkin
State	NJ
ZIP	08050
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 2, 2017

Payer Source	Total Paid
Medicaid	$34.8M
Medicare	$0

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

252 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.	25,980	$350	$9.1M
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.	29,050	$300	$8.6M
G0378	Hospital observation service, per hour	3,170	$920	$2.9M
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.	5,980	$260	$1.6M
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.	8,000	$180	$1.5M
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…	1,380	$910	$1.3M
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.	1,100	$850	$927K
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…	20,340	$40	$894.9K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	10,770	$50	$581.6K
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…	550	$910	$498.1K

Showing 1–10 of 252

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

252 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	54	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.	53	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.	64	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.	109	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.	45	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.	40	140	1,410	$180	$1.3M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	97	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.	94	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…	63	110	1,810	$50	$930.1K
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…	33	80	430	$290	$897.3K

Showing 1–10 of 252

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Barron Emergency Physicians LLC	NJ	Emergency Medicine Physician	$0	$21.7M
Hemangini Shah	NJ	Radiation Oncology Physician	$2.4M	$0
Rosemarie Desantis	NJ	Rheumatology Physician	$1.1M	$0
Nagalakshmi Shetty	NJ	Rheumatology Physician	$817K	$0
Walter Miller	NJ	Family Medicine Physician	$391.4K	$0
Truc Nguyen	NJ	Ophthalmology Physician	$360.2K	$0
Mahesh Tekriwal	NJ	Cardiovascular Disease Physician	$343.9K	$0
Imani Rosario	NJ	Urology Physician	$342.4K	$0
Joseph Lattanzi	NJ	Radiation Oncology Physician	$342.2K	$0
Charles Fernicola	NJ	Urology Physician	$318.3K	$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	$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