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.

Inspira Medical Centers, Inc. (NPI 1972141091)

Field	Value
Entity Type	Organization
Organization	Inspira Medical Centers, Inc.
Address	509 N Broad St
City	Woodbury
State	NJ
ZIP	08096
Taxonomy	Emergency Care Clinic/Center
NPI Enumerated	December 19, 2019

Payer Source	Total Paid
Medicaid	$27.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

175 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.	15,620	$350	$5.4M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	16,320	$330	$5.4M
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.	16,290	$280	$4.6M
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.	6,780	$520	$3.5M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	27,100	$90	$2.3M
G0378	Hospital observation service, per hour	1,080	$840	$898.5K
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.	4,220	$150	$612K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	8,750	$30	$288.9K
95806	A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders.	180	$1,210	$221.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	4,310	$50	$211.3K

Showing 1–10 of 175

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

Inspira Medical Centers, Inc. — 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

175 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	68	80	6,290	$690	$6.6M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	93	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…	85	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.	85	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.	98	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.	105	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.	85	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.	55	140	1,410	$180	$1.3M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	49	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.	47	120	940	$20	$957.4K

Showing 1–10 of 175

Related Providers

Other providers that share a Tax Identification Number (TIN) with Inspira Medical Centers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Inspira Medical Centers, Inc.	NJ	General Acute Care Hospital	$0	$227M
Inspira Medical Centers, Inc.	NJ	General Acute Care Hospital	$0	$56.6M
Inspira Medical Centers, Inc.	NJ	General Acute Care Hospital	$0	$30.5M
Inspira Medical Center Woodbury, Inc.	NJ	General Acute Care Hospital	$0	$25M
Salem County Hospital Corp.	NJ	General Acute Care Hospital	$0	$13.7M
Linda Degrazia	NJ	Adult Health Nurse Practitioner	$59.1K	$0
Lori Sheehan	PA	Neurology Physician	$11K	$0

Nearby Providers

Other providers in the same ZIP code as Inspira Medical Centers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Assoc. For Retarded Citizens, Inc. Gloucester County	NJ	Community/Behavioral Health Agency	$0	$71M
Avenues To Independent Living	NJ	Developmentally Disabled Services Day Training Agency	$0	$70.8M
Family Therapy And Consultation Services	NJ	Community/Behavioral Health Agency	$0	$23.7M
Dpsp Healthcare LLC	NJ	Assisted Living Facility	$0	$13M
Van Dautruche	NJ	Case Manager/Care Coordinator	$0	$10.1M
United Family Services	NJ	Community/Behavioral Health Agency	$0	$7.7M
Emergency Care Services Of New Jersey, PA	NJ	Emergency Medicine Physician	$0	$7.4M
South Jersey Endoscopy LLC	NJ	Ambulatory Surgical Clinic/Center	$647.3K	$732.2K
Kara Della Torre	NJ	Ophthalmology Physician	$1M	$0
Markus Whitley	NJ	Diagnostic Radiology Physician	$724.2K	$0

Inspira Medical Centers, Inc. — Billing Profile & Reimbursement Data

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Inspira Medical Centers, Inc. — 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