Community Hospital Group INC
Community Hospital Group INC was paid $399K by Medicaid between Jan 2018 and Mar 2022, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
EDISON, NJ 08820
Next to other Specialist providers in New Jersey
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,410 | $64K | |
| 2019 | 1,843 | $67K | |
| 2020 | 2,749 | $109K | |
| 2021 | 3,382 | $133K | |
| 2022 | 645 | $27K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 2,076 | 2,015 | $91K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 22% | 1,907 | 1,831 | $88K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 16% | 1,588 | 520 | $65K |
| 99222 | Initial hospital care, per day, moderate complexity | 9.2% | 633 | 607 | $37K |
| 64644 | 6.5% | 698 | 691 | $26K | |
| 95886 | 6.3% | 562 | 504 | $25K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 4.4% | 1,177 | 547 | $18K |
| 64643 | 3.4% | 409 | 402 | $13K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.1% | 195 | 195 | $12K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.8% | 262 | 103 | $7K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.6% | 165 | 67 | $6K |
| 95874 | 1.3% | 919 | 910 | $5K |
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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.