Medicaid Provider Spending

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

INSPIRA MEDICAL CENTERS, INC.

NPI: 1437832201 · SALEM, NJ 08079 · Physical Therapy Clinic/Center · NPI assigned 08/09/2023

$3.21M
Total Medicaid Paid
67,548
Total Claims
54,709
Beneficiaries
124
Codes Billed
2023-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPELINO, WILLIAM (SR. VICE PRESIDENT & CFO)
NPI Enumeration Date08/09/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 17,255 $726K
2024 50,293 $2.49M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 3,737 3,416 $1.05M
99284 Emergency department visit for the evaluation and management, high severity 2,293 2,068 $702K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,208 1,922 $689K
G0378 Hospital observation service, per hour 415 294 $206K
99282 Emergency department visit for the evaluation and management, low to moderate severity 760 727 $90K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1,518 1,327 $49K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,001 459 $49K
99281 Emergency department visit for the evaluation and management, self-limited or minor 327 314 $35K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,984 1,661 $34K
74177 Computed tomography, abdomen and pelvis; with contrast material 444 416 $27K
77067 Screening mammography, bilateral, including computer-aided detection 279 263 $15K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,311 1,156 $14K
70450 Computed tomography, head or brain; without contrast material 620 550 $13K
71046 Radiologic examination, chest; 2 views 924 857 $12K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 502 370 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 764 688 $12K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 742 619 $12K
96375 Therapeutic injection; each additional sequential IV push 964 848 $11K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 367 108 $11K
96361 Intravenous infusion, hydration; each additional hour 589 555 $11K
74176 Computed tomography, abdomen and pelvis; without contrast material 225 208 $9K
OP259 4,100 3,224 $9K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 89 85 $6K
97530 Therapeutic activities, direct patient contact, each 15 minutes 277 113 $6K
72110 208 190 $6K
OP710 264 235 $6K
97161 224 193 $6K
77063 Screening digital breast tomosynthesis, bilateral 278 262 $6K
71045 Radiologic examination, chest; single view 818 720 $6K
36415 Collection of venous blood by venipuncture 4,541 3,589 $6K
80048 Basic metabolic panel (calcium, ionized) 3,106 2,472 $5K
73630 316 297 $5K
76830 Ultrasound, transvaginal 53 51 $5K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 78 78 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,449 2,699 $4K
73130 276 258 $4K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 33 32 $4K
73564 152 145 $3K
73030 223 210 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 570 535 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 135 125 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 83 74 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 212 203 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 651 567 $2K
84484 1,062 825 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 28 26 $2K
73610 165 153 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 212 203 $2K
71275 Computed tomographic angiography, chest, with contrast material 41 38 $2K
OP250 1,508 1,187 $2K
86901 101 88 $2K
72125 Computed tomography, cervical spine; without contrast material 75 68 $2K
90715 107 101 $2K
84703 1,260 1,147 $1K
80053 Comprehensive metabolic panel 579 497 $1K
96376 218 189 $1K
82553 862 716 $1K
83880 254 216 $1K
80076 915 808 $1K
82962 1,410 1,041 $1K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 55 54 $1K
86850 98 88 $1K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 275 249 $959.07
81001 2,048 1,837 $912.82
86900 101 88 $910.45
82550 903 737 $872.97
83690 861 762 $863.82
73562 97 81 $855.63
83735 827 647 $807.87
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 134 105 $765.08
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 282 274 $736.52
84443 Thyroid stimulating hormone (TSH) 228 197 $720.97
73110 43 42 $563.45
74018 50 44 $560.20
97010 358 123 $539.58
J1650 Injection, enoxaparin sodium, 10 mg 173 74 $538.21
88342 14 12 $519.36
C1767 Generator, neurostimulator (implantable), non-rechargeable 128 122 $503.60
73502 43 37 $464.39
77080 14 12 $449.63
85027 173 151 $423.87
87086 Culture, bacterial; quantitative colony count, urine 321 295 $388.82
G0463 Hospital outpatient clinic visit for assessment and management of a patient 221 73 $369.18
J3490 Unclassified drugs 1,344 781 $342.83
J2405 Injection, ondansetron hydrochloride, per 1 mg 797 626 $342.16
93971 12 12 $267.34
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 331 302 $263.57
87420 70 67 $252.19
85610 267 224 $251.72
85379 171 155 $236.00
80061 Lipid panel 112 98 $179.53
85730 129 107 $165.58
83036 Hemoglobin; glycosylated (A1C) 108 97 $137.34
J1885 Injection, ketorolac tromethamine, per 15 mg 833 678 $122.99
J1170 Injection, hydromorphone, up to 4 mg 329 190 $119.51
OP637 698 414 $117.47
83605 61 51 $114.96
97014 55 13 $99.47
J2704 Injection, propofol, 10 mg 298 242 $87.82
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 255 212 $83.45
87081 46 44 $74.45
J1100 Injection, dexamethasone sodium phosphate, 1 mg 285 236 $72.78
J3475 Injection, magnesium sulfate, per 500 mg 81 50 $68.96
84100 84 78 $57.46
J2270 Injection, morphine sulfate, up to 10 mg 431 308 $46.65
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 125 114 $46.11
82803 16 14 $45.89
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 35 26 $45.47
J2060 Injection, lorazepam, 2 mg 79 59 $41.74
82248 27 25 $38.72
J2250 Injection, midazolam hydrochloride, per 1 mg 181 149 $37.01
J0131 Injection, acetaminophen, not otherwise specified,10 mg 13 12 $26.40
J2765 Injection, metoclopramide hcl, up to 10 mg 33 29 $16.08
J1630 Injection, haloperidol, up to 5 mg 40 29 $14.78
87040 17 12 $11.79
J0696 Injection, ceftriaxone sodium, per 250 mg 210 147 $11.44
A9270 Non-covered item or service 276 263 $4.77
J2919 Injection, methylprednisolone sodium succinate, 5 mg 56 38 $4.74
J1200 Injection, diphenhydramine hcl, up to 50 mg 153 107 $4.03
J0780 Injection, prochlorperazine, up to 10 mg 35 28 $3.52
C9113 Injection, pantoprazole sodium, per vial 35 25 $3.46
J3010 Injection, fentanyl citrate, 0.1 mg 35 32 $1.72
J0690 Injection, cefazolin sodium, 500 mg 15 13 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 16 12 $0.00