Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COMMUNITY HOSPITAL GROUP INC

NPI: 1225251754 · EDISON, NJ 08820 · Specialist · NPI assigned 04/11/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SMITH, RICHARD controls 13+ related entities in our dataset. Read more

$399K
Total Medicaid Paid
11,029
Total Claims
8,704
Beneficiaries
16
Codes Billed
2018-01
First Month
2022-03
Last Month

Provider Details

Authorized OfficialSMITH, RICHARD (CFO)
Parent OrganizationCOMMUNITY HOSPITAL GROUP INC
NPI Enumeration Date04/11/2007

Related Entities

Other providers sharing the same authorized official: SMITH, RICHARD

ProviderCityStateTotal Paid
COMMUNITY HOSPITAL GROUP INC EDISON NJ $71.47M
COMMUNITY HOSPITAL GROUP INC EDISON NJ $5.80M
JFK MEDICAL ASSOCIATES PA NEPTUNE NJ $4.44M
MODERN DENTAL PROFESSIONALS-SMITH PA PINE BLUFF AR $2.27M
COMMUNITY HOSPITAL GROUP INC EDISON NJ $928K
COMMUNITY HOSPITAL GROUP, INC EDISON NJ $627K
JAMESTOWN INTERNAL MEDICINE P.C. JAMESTOWN TN $350K
COMMUNITY HOSPITAL GROUP INC EDISON NJ $99K
NORTH BAY FAMILY MEDICAL CLINIC, PA BILOXI MS $76K
PATHOLOGY ASSOCIATES OF STURDY MEMORIAL HOSPITAL INC ATTLEBORO MA $55K
RICHARD COLVILLE SMITH, M.D., INC. VISTA CA $46K
NORTH ATTLEBOROUGH PUBLIC SCHOOLS NORTH ATTLEBORO MA $30K
COMMUNITY HOSPITAL GROUP INC EDISON NJ $393.92

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,410 $64K
2019 1,843 $67K
2020 2,749 $109K
2021 3,382 $133K
2022 645 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,076 2,015 $91K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,907 1,831 $88K
99308 Subsequent nursing facility care, per day, straightforward 1,588 520 $65K
99222 Initial hospital care, per day, moderate complexity 633 607 $37K
64644 698 691 $26K
95886 562 504 $25K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,177 547 $18K
64643 409 402 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 195 195 $12K
99232 Subsequent hospital care, per day, moderate complexity 262 103 $7K
99309 Subsequent nursing facility care, per day, low to moderate complexity 165 67 $6K
95874 919 910 $5K
62370 160 160 $3K
95909 26 26 $1K
20611 26 16 $1K
99367 226 110 $854.94