Community Hospital Group, INC
Community Hospital Group, INC was paid $954K by Medicaid between Jan 2018 and Mar 2022, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 84% of everything it billed.
33Billing provider infoCOMMUNITY HOSPITAL GROUP, INC
EDISON, NJ 08820
EDISON, NJ 08820
33aNPI1316167141assigned 04/26/2007
33bProvider typeSpecialist
28Total paid$954K
24GClaims31,203
24DCodes billed31
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#58 of 378
Median peer was paid$63K
This provider vs. median15×
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.
Entity ProliferationAuthorized official HAND, RICHARD controls 15+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 10,060 | $163K | |
| 2019 | 8,893 | $272K | |
| 2020 | 5,523 | $219K | |
| 2021 | 5,151 | $245K | |
| 2022 | 1,576 | $56K |
Box 24 · Service lines
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 | 84% | 20,723 | 20,052 | $804K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.6% | 1,913 | 1,563 | $34K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.2% | 875 | 672 | $21K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 358 | 351 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 489 | 468 | $15K |
| 90686 | 1.2% | 1,095 | 1,095 | $12K | |
| 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 | 1.1% | 282 | 277 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 856 | 845 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 110 | 109 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,296 | 3,232 | $5K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 227 | 182 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 44 | 42 | $5K |
19 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 61 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 43 | $2K |
| 90461 | <1% | 204 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 33 | $1K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 90 | $1K |
| 99307 | <1% | 36 | $763.18 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $640.18 |
| 81025 | <1% | 198 | $501.71 | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 15 | $279.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $43.69 |
| G0008 | Administration of influenza virus vaccine | <1% | 28 | $41.31 |
| 99000 | <1% | 53 | $21.35 | |
| 81002 | <1% | 14 | $14.64 | |
| 81003 | <1% | 12 | $5.25 | |
| 90723 | <1% | 25 | $2.00 | |
| 90648 | 0% | 17 | $0.00 | |
| 90670 | 0% | 27 | $0.00 | |
| 0502F | 0% | 42 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 12 | $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 officialHAND, RICHARD (VP FINANCE)
Parent organizationCOMMUNITY HOSPITAL GROUP, INC
| Provider | Location | Paid |
|---|---|---|
| HMH Hospitals Corporation | Neptune, NJ | $128.23M |
| HMH Hospitals Corporation | Manahawkin, NJ | $34.80M |
| Hackensack Meridian Urgent Care Plus PC | Hoboken, NJ | $948K |
| HMH Carrier Behavioral Health INC | Belle Mead, NJ | $669K |
| Community Hospital Group, INC | Edison, NJ | $453K |
| Hackensack Meridian Ambulatory Care, INC. | Holmdel, NJ | $170K |
| Meridian Cardiovascular Interpretive Services PC | Neptune, NJ | $145K |
| Hackensack Meridian Ambulatory Care, INC. | Eatontown, NJ | $382.20 |
| Hackensack Meridian Ambulatory Care, INC. | Holmdel, NJ | $276.57 |
| Hackensack Meridian Ambulatory Care, INC. | Hackensack, NJ | $76.92 |
| Hackensack Meridian Ambulatory Care, INC. | Shrewsbury, NJ | $39.35 |
| Hackensack Meridian Ambulatory Care, INC. | North Bergen, NJ | $31.11 |
| Hackensack Meridian Ambulatory Care, INC. | Red Bank, NJ | $25.96 |
| Hackensack Meridian Ambulatory Care, INC. | Brick, NJ | $0.00 |
| Hackensack Meridian Ambulatory Care, INC. | Ocean Grove, NJ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.