Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Inspira Medical Centers, INC.

Inspira Medical Centers, INC. was paid $3.21M by Medicaid between Oct 2023 and Nov 2024, across 124 billing codes. Its largest line is 99283, emergency room visit (moderate) — 33% of everything it billed.

33Billing provider infoINSPIRA MEDICAL CENTERS, INC.
SALEM, NJ 08079
33aNPI1437832201assigned 08/09/2023
33bProvider typePhysical Therapy Clinic/Center
28Total paid$3.21M
24GClaims67,548
24DCodes billed124
24AFirst – last monthOct 2023 – Nov 2024
Compared with peers

Next to other Physical Therapy Clinic/Center providers in New Jersey

Rank by total paid#4 of 92
Median peer was paid$61K
This provider vs. median53×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
202317,255$726K
2024incomplete50,293$2.49M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 33% 3,737 3,416 $1.05M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 22% 2,293 2,068 $702K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 21% 2,208 1,922 $689K
G0378 Hospital observation service, per hour 6.4% 415 294 $206K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.8% 760 727 $90K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.5% 1,518 1,327 $49K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.5% 2,001 459 $49K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.1% 327 314 $35K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.0% 1,984 1,661 $34K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 444 416 $27K
77067 Screening mammography, bilateral, including computer-aided detection <1% 279 263 $15K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,311 1,156 $14K
112 more codes
70450 Computed tomography, head or brain; without contrast material <1% 620 $13K
71046 Radiologic examination, chest; 2 views <1% 924 $12K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 502 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 764 $12K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 742 $12K
96375 Therapeutic injection; each additional sequential IV push <1% 964 $11K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 367 $11K
96361 Intravenous infusion, hydration; each additional hour <1% 589 $11K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 225 $9K
OP259 <1% 4,100 $9K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 89 $6K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 277 $6K
72110 <1% 208 $6K
OP710 <1% 264 $6K
97161 <1% 224 $6K
77063 Screening digital breast tomosynthesis, bilateral <1% 278 $6K
71045 Radiologic examination, chest; single view <1% 818 $6K
36415 Collection of venous blood by venipuncture <1% 4,541 $6K
80048 Basic metabolic panel (calcium, ionized) <1% 3,106 $5K
73630 <1% 316 $5K
76830 Ultrasound, transvaginal <1% 53 $5K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 78 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 3,449 $4K
73130 <1% 276 $4K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 33 $4K
73564 <1% 152 $3K
73030 <1% 223 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 570 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 135 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 83 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 212 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 651 $2K
84484 <1% 1,062 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 28 $2K
73610 <1% 165 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 212 $2K
71275 Computed tomographic angiography, chest, with contrast material <1% 41 $2K
OP250 <1% 1,508 $2K
86901 <1% 101 $2K
72125 Computed tomography, cervical spine; without contrast material <1% 75 $2K
90715 <1% 107 $2K
84703 <1% 1,260 $1K
80053 Comprehensive metabolic panel <1% 579 $1K
96376 <1% 218 $1K
82553 <1% 862 $1K
83880 <1% 254 $1K
80076 <1% 915 $1K
82962 <1% 1,410 $1K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 55 $1K
86850 <1% 98 $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 <1% 275 $959.07
81001 <1% 2,048 $912.82
86900 <1% 101 $910.45
82550 <1% 903 $872.97
83690 <1% 861 $863.82
73562 <1% 97 $855.63
83735 <1% 827 $807.87
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 134 $765.08
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 282 $736.52
84443 Thyroid stimulating hormone (TSH) <1% 228 $720.97
73110 <1% 43 $563.45
74018 <1% 50 $560.20
97010 <1% 358 $539.58
J1650 Injection, enoxaparin sodium, 10 mg <1% 173 $538.21
88342 <1% 14 $519.36
C1767 Generator, neurostimulator (implantable), non-rechargeable <1% 128 $503.60
73502 <1% 43 $464.39
77080 <1% 14 $449.63
85027 <1% 173 $423.87
87086 Culture, bacterial; quantitative colony count, urine <1% 321 $388.82
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 221 $369.18
J3490 Unclassified drugs <1% 1,344 $342.83
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 797 $342.16
93971 <1% 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 <1% 331 $263.57
87420 <1% 70 $252.19
85610 <1% 267 $251.72
85379 <1% 171 $236.00
80061 Lipid panel <1% 112 $179.53
85730 <1% 129 $165.58
83036 Hemoglobin; glycosylated (A1C) <1% 108 $137.34
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 833 $122.99
J1170 Injection, hydromorphone, up to 4 mg <1% 329 $119.51
OP637 <1% 698 $117.47
83605 <1% 61 $114.96
97014 <1% 55 $99.47
J2704 Injection, propofol, 10 mg <1% 298 $87.82
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 255 $83.45
87081 <1% 46 $74.45
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 285 $72.78
J3475 Injection, magnesium sulfate, per 500 mg <1% 81 $68.96
84100 <1% 84 $57.46
J2270 Injection, morphine sulfate, up to 10 mg <1% 431 $46.65
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml <1% 125 $46.11
82803 <1% 16 $45.89
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 35 $45.47
J2060 Injection, lorazepam, 2 mg <1% 79 $41.74
82248 <1% 27 $38.72
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 181 $37.01
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 13 $26.40
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 33 $16.08
J1630 Injection, haloperidol, up to 5 mg <1% 40 $14.78
87040 <1% 17 $11.79
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 210 $11.44
A9270 Non-covered item or service <1% 276 $4.77
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 56 $4.74
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 153 $4.03
J0780 Injection, prochlorperazine, up to 10 mg <1% 35 $3.52
C9113 Injection, pantoprazole sodium, per vial <1% 35 $3.46
J3010 Injection, fentanyl citrate, 0.1 mg <1% 35 $1.72
J0690 Injection, cefazolin sodium, 500 mg 0% 15 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 16 $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 officialPELINO, WILLIAM (SR. VICE PRESIDENT & CFO)