Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › Woodbury › NPI 1184601288
Hospital

Inspira Medical Center Woodbury, INC.

Inspira Medical Center Woodbury, INC. was paid $25.02M by Medicaid between Jan 2018 and Dec 2019, across 272 billing codes. Its largest line is 99284, emergency room visit (serious) — 16% of everything it billed.

33Billing provider infoINSPIRA MEDICAL CENTER WOODBURY, INC.
WOODBURY, NJ 08096
33aNPI1184601288assigned 12/29/2005
28Total paid$25.02M
24GClaims427,531
24DCodes billed272
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers

Next to other General Acute Care Hospital providers in New Jersey

Rank by total paid#53 of 93
Median peer was paid$30.60M
This provider vs. median0.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018210,261$12.68M
2019217,270$12.33M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 16% 12,228 11,444 $3.97M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 14% 11,953 11,294 $3.55M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 13% 10,292 1,053 $3.34M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 12% 7,246 6,773 $2.89M
A0427 Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 8.3% 5,732 5,396 $2.07M
A0429 Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency) 4.7% 5,892 4,860 $1.18M
A0434 Specialty care transport (sct) 4.3% 1,786 1,754 $1.07M
G0378 Hospital observation service, per hour 3.6% 2,583 2,285 $890K
A0425 Ground mileage, per statute mile 2.9% 16,032 13,764 $714K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.2% 3,143 2,996 $562K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 1.1% 3,982 1,969 $285K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.1% 701 699 $264K
260 more codes
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.0% 7,010 $257K
90834 Psychotherapy session, about 45 minutes <1% 3,347 $228K
59025 Fetal non-stress test <1% 653 $211K
A0433 Advanced life support, level 2 (als 2) <1% 360 $158K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 2,845 $150K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 535 $109K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) <1% 2,573 $96K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 6,480 $88K
90791 Psychiatric diagnostic evaluation <1% 631 $88K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 1,502 $77K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,002 $76K
93017 <1% 175 $75K
36415 Collection of venous blood by venipuncture <1% 19,043 $71K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 2,489 $69K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 7,041 $66K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 472 $63K
80048 Basic metabolic panel (calcium, ionized) <1% 13,650 $62K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 1,749 $61K
71046 Radiologic examination, chest; 2 views <1% 6,492 $59K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 16,858 $58K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 932 $57K
94760 <1% 31,849 $56K
76801 <1% 1,041 $53K
77067 Screening mammography, bilateral, including computer-aided detection <1% 464 $47K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 586 $46K
96361 Intravenous infusion, hydration; each additional hour <1% 4,445 $44K
96375 Therapeutic injection; each additional sequential IV push <1% 4,404 $41K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 789 $40K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 2,798 $40K
76830 Ultrasound, transvaginal <1% 664 $39K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,131 $38K
97010 <1% 3,139 $37K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 501 $36K
70450 Computed tomography, head or brain; without contrast material <1% 3,099 $36K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 258 $35K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 2,180 $35K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 115 $34K
97161 <1% 747 $33K
99213 Doctor's office visit, returning patient (routine) <1% 925 $32K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 601 $30K
OP710 <1% 1,479 $30K
36000 <1% 4,668 $30K
OP279 <1% 4,159 $30K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,376 $28K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,278 $27K
84484 <1% 4,066 $25K
99214 Doctor's office visit, returning patient (more involved) <1% 496 $25K
95806 <1% 25 $24K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,302 $24K
93975 <1% 949 $23K
80076 <1% 5,718 $22K
81003 <1% 10,289 $22K
85610 <1% 6,715 $22K
93971 <1% 484 $22K
80053 Comprehensive metabolic panel <1% 3,698 $22K
71045 Radiologic examination, chest; single view <1% 2,213 $21K
77066 Tomosynthesis, mammo <1% 82 $20K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,079 $20K
85730 <1% 6,196 $19K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 590 $19K
73564 <1% 623 $17K
84443 Thyroid stimulating hormone (TSH) <1% 1,066 $16K
J3490 Unclassified drugs <1% 1,777 $16K
76642 <1% 254 $16K
82962 <1% 2,476 $15K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 885 $15K
90832 Psychotherapy session, about 30 minutes <1% 192 $15K
86901 <1% 1,219 $15K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 899 $15K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 651 $15K
J2704 Injection, propofol, 10 mg <1% 897 $15K
OP259 <1% 13,473 $14K
73630 <1% 949 $14K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 3,718 $14K
95819 <1% 79 $14K
93970 <1% 194 $14K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 12 $13K
81001 <1% 5,905 $13K
J7030 Infusion, normal saline solution , 1000 cc <1% 5,540 $12K
93041 <1% 2,378 $12K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 623 $12K
80306 <1% 549 $12K
71275 Computed tomographic angiography, chest, with contrast material <1% 428 $11K
72125 Computed tomography, cervical spine; without contrast material <1% 837 $11K
71250 <1% 229 $11K
83690 <1% 4,097 $11K
83735 <1% 2,596 $10K
72110 <1% 312 $10K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 94 $10K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 49 $10K
83880 <1% 767 $10K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 2,049 $10K
76813 <1% 80 $9K
86850 <1% 896 $9K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 892 $9K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 892 $9K
80061 Lipid panel <1% 652 $9K
70551 Magnetic resonance imaging, brain; without contrast material <1% 37 $9K
76770 <1% 148 $9K
73610 <1% 809 $8K
73130 <1% 813 $8K
87086 Culture, bacterial; quantitative colony count, urine <1% 2,959 $8K
J2060 Injection, lorazepam, 2 mg <1% 1,224 $8K
86900 <1% 1,217 $7K
87186 <1% 1,036 $7K
11043 <1% 44 $7K
73030 <1% 711 $7K
87070 <1% 1,127 $7K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,424 $7K
17250 <1% 67 $7K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 422 $6K
80329 <1% 1,474 $6K
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 not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 190 $6K
87205 <1% 645 $6K
76536 <1% 68 $6K
73110 <1% 467 $6K
84703 <1% 2,946 $6K
82150 <1% 2,394 $6K
OP272 <1% 1,055 $6K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,961 $5K
83036 Hemoglobin; glycosylated (A1C) <1% 461 $5K
83605 <1% 810 $5K
77065 Tomosynthesis, mammo <1% 40 $5K
81025 <1% 3,635 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,972 $5K
96376 <1% 966 $5K
85027 <1% 665 $5K
87040 <1% 884 $4K
88304 <1% 165 $4K
90715 <1% 575 $4K
97597 <1% 28 $4K
82550 <1% 718 $4K
84702 <1% 998 $4K
97116 <1% 429 $4K
72100 <1% 332 $4K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 50 $4K
80320 <1% 2,484 $3K
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,581 $3K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 129 $3K
77063 Screening digital breast tomosynthesis, bilateral <1% 107 $3K
J1644 Injection, heparin sodium, per 1000 units <1% 445 $3K
70486 <1% 149 $3K
73620 <1% 227 $3K
73502 <1% 257 $3K
84100 <1% 643 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 895 $3K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,015 $3K
85379 <1% 1,002 $3K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 961 $3K
73562 <1% 324 $3K
OP250 <1% 1,706 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,077 $3K
97162 <1% 93 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 80 $3K
74022 <1% 345 $3K
OP270 <1% 104 $3K
J7050 Infusion, normal saline solution, 250 cc <1% 520 $2K
85018 <1% 377 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 493 $2K
80165 <1% 246 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 12 $2K
J1170 Injection, hydromorphone, up to 4 mg <1% 1,269 $2K
80178 <1% 153 $2K
87147 <1% 664 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 730 $2K
82375 <1% 245 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 26 $2K
82803 <1% 199 $2K
83050 <1% 227 $2K
72131 <1% 101 $2K
82948 <1% 172 $2K
J1650 Injection, enoxaparin sodium, 10 mg <1% 269 $2K
73080 <1% 159 $1K
87077 <1% 291 $1K
72050 <1% 49 $1K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 538 $1K
74018 <1% 147 $1K
82553 <1% 111 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 390 $1K
94664 <1% 14 $1K
OP450 <1% 175 $1K
94729 <1% 28 $1K
94727 <1% 27 $1K
C9113 Injection, pantoprazole sodium, per vial <1% 349 $1K
J2760 Injection, phentolamine mesylate, up to 5 mg <1% 117 $1K
J1815 Injection, insulin, per 5 units <1% 21 $1K
97802 <1% 13 $990.11
73590 <1% 112 $916.05
82607 <1% 33 $867.86
97164 <1% 26 $858.55
87081 <1% 227 $798.38
87807 <1% 325 $733.61
A4311 Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) <1% 97 $629.97
73120 <1% 75 $611.01
85652 <1% 373 $602.26
51702 <1% 27 $591.89
82746 <1% 15 $562.24
P9612 Catheterization for collection of specimen, single patient, all places of service <1% 2,278 $548.69
72040 <1% 52 $541.19
85380 <1% 74 $533.37
90853 Group psychotherapy (other than of a multiple-family group) <1% 100 $533.03
76819 Fetal biophysical profile; without non-stress testing <1% 12 $518.25
89220 <1% 111 $512.43
86804 <1% 27 $510.50
73090 <1% 71 $501.32
86592 <1% 249 $465.71
72070 <1% 12 $449.11
73560 <1% 48 $427.26
36600 <1% 182 $423.08
87340 <1% 79 $421.24
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen <1% 634 $406.74
87071 <1% 124 $359.21
OP637 <1% 1,856 $344.44
86140 <1% 202 $340.22
83021 <1% 14 $328.51
86403 <1% 41 $311.07
87088 <1% 216 $307.94
J7120 Ringers lactate infusion, up to 1000 cc <1% 213 $305.31
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 53 $296.64
J2310 Injection, naloxone hydrochloride, per 1 mg <1% 39 $282.40
86308 <1% 232 $280.61
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 258 $279.91
86703 <1% 14 $274.14
86787 <1% 17 $246.54
97165 <1% 12 $215.72
A4344 Indwelling catheter, foley type, two-way, all silicone or polyurethane, each <1% 12 $196.65
71101 <1% 24 $196.17
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 13 $185.34
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 1,003 $184.98
J1630 Injection, haloperidol, up to 5 mg <1% 27 $179.08
85008 <1% 593 $170.25
84550 <1% 14 $169.11
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 31 $166.09
87420 <1% 92 $153.99
85007 <1% 214 $153.55
87430 <1% 113 $152.06
86762 <1% 16 $148.78
OP258 <1% 142 $138.72
73600 <1% 30 $136.65
87073 <1% 60 $128.15
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 16 $115.78
86618 <1% 12 $100.26
84436 <1% 12 $86.80
29530 <1% 12 $85.30
82247 <1% 18 $80.68
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 253 $73.27
73140 <1% 30 $62.99
J8540 Dexamethasone, oral, 0.25 mg <1% 71 $27.89
82330 <1% 12 $18.46
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg <1% 37 $17.17
J3480 Injection, potassium chloride, per 2 meq <1% 19 $10.68
J0360 Injection, hydralazine hcl, up to 20 mg <1% 15 $9.93
J3475 Injection, magnesium sulfate, per 500 mg <1% 26 $5.05
82248 <1% 12 $4.50
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 28 $4.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 31 $4.00
73552 0% 12 $0.00
88342 0% 12 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 17 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 14 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGRAHAM, JOHN (VICE PRESIDENT COO)
Same official

Other billing entities under GRAHAM, JOHN

Full network →
ProviderLocationPaid
Inspira Medical Center Woodbury, INC.Woodbury, NJ$24K
Windham Urology Group PCBrooklyn, CT$4K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.