Physician
HMH Hospitals Corporation
HMH Hospitals Corporation was paid $650K by Medicaid between Apr 2022 and Dec 2022, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoHMH HOSPITALS CORPORATION
EDISON, NJ 08820
EDISON, NJ 08820
33aNPI1356016661assigned 08/10/2021
33bProvider typeClinical Neurophysiology Physician
28Total paid$650K
24GClaims25,159
24DCodes billed50
24AFirst – last monthApr 2022 – Dec 2022
Compared with peers
Next to other Clinical Neurophysiology Physician providers in New Jersey
Rank by total paid#2 of 11
Median peer was paid$28K
This provider vs. median23×
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
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 | |
|---|---|---|---|
| 2022 | 25,159 | $650K |
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 | 26% | 4,498 | 3,958 | $172K |
| 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 | 20% | 2,110 | 1,893 | $129K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 8.0% | 1,631 | 1,550 | $52K |
| 99205 | Prolong outpt/office vis | 6.5% | 274 | 265 | $43K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 5.7% | 9,112 | 7,137 | $37K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.2% | 263 | 256 | $34K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.5% | 300 | 284 | $30K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 2.9% | 516 | 487 | $19K |
| 95722 | 2.2% | 88 | 77 | $14K | |
| 93970 | 2.0% | 864 | 764 | $13K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.6% | 191 | 180 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 451 | 402 | $9K |
38 more codes
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.3% | 71 | $8K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.1% | 466 | $7K |
| 95886 | <1% | 121 | $6K | |
| 93016 | <1% | 586 | $5K | |
| 64644 | <1% | 130 | $5K | |
| 93880 | <1% | 262 | $5K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 333 | $5K |
| 99243 | <1% | 118 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 76 | $4K |
| 93018 | <1% | 584 | $4K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 73 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 89 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 84 | $3K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 93 | $3K |
| 64643 | <1% | 70 | $2K | |
| 99221 | <1% | 30 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 37 | $2K |
| 95721 | <1% | 14 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 36 | $2K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 13 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 318 | $1K |
| 95874 | <1% | 175 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 25 | $945.07 |
| 20611 | <1% | 17 | $857.14 | |
| 93971 | <1% | 78 | $748.32 | |
| 90461 | <1% | 110 | $717.22 | |
| 99385 | <1% | 15 | $404.93 | |
| 76706 | <1% | 43 | $391.70 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 17 | $229.90 |
| 99367 | <1% | 104 | $96.40 | |
| 90686 | <1% | 444 | $92.00 | |
| 90677 | <1% | 14 | $4.00 | |
| 90670 | <1% | 60 | $3.00 | |
| 90707 | <1% | 17 | $2.00 | |
| 90648 | <1% | 77 | $2.00 | |
| 90716 | <1% | 17 | $2.00 | |
| 90723 | 0% | 31 | $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 officialPIPAS, FRANK (EXECUTIVE VP PRESIDENT)
Parent organizationHMH HOSPITALS CORPORATION
| Provider | Location | Paid |
|---|---|---|
| HMH Hospitals Corporation | Edison, NJ | $72.16M |
| HMH Hospitals Corporation | Edison, NJ | $6.10M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.